NPI 1013184837

Maryanne Kleven, OTRL

Practitioner Specialist Coeur D Alene, ID

Practice location

Address: 500 W Aqua Ave, Coeur D Alene, ID 83815-7764
Phone: (208) 762-1122
Mailing address: 8201 W Bordon CT, Rathdrum, ID 83858-6496

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OT-731 (ID)

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Registry record

NPI: 1013184837
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2008
Record last updated: 12 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.