Whalio Doctors

NPI 1033547286

Jean Vergilio

Practitioner Occupational Therapy Assistant Coeur D Alene, ID

Practice location

Address
210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403
Phone
(208) 664-6520
Mailing address
210 W. Lacrosse Ave., Coeur D' Alene, ID 83814

Registered specialties (2)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1101 (ID)
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OC60131997 (WA)

Registry record

NPI
1033547286
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Oct 2013
Record last updated
25 Oct 2013

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.