NPI age
6 years
Enumerated 2020-03-08
Across 626 active occupational therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | OT-2171 | OTR/L IDAHO STATE LICENSE |
| 01 | 434509 | NBCOT REGISTRATION |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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