Madison Anne Miranda

NPI #1154148773 in Meridian, Idaho

Provider Information

NPI Number
1154148773
Entity Type
Individual
Name
Madison Anne Miranda
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Sep 24, 2024
Last Updated
Feb 24, 2025

Practice Location

Address
2940 W COBALT DR UNIT B113
State
Idaho
ZIP Code
83642-5813
Phone
(208) 841-3389

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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