NPI age
19 years
Enumerated 2007-04-03
Across 626 active occupational therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | TA930 | BLUE CROSS GROUP # |
| 01 (ID) | W0996 | BLUE CROSS PROVIDERNUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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