NPI 1033654900

Tyler Earl, COTAL

Practitioner Occupational Therapy Assistant Burley, ID

Practice location

Address: 2303 Park Ave, Burley, ID 83318-2106
Phone: (208) 677-3073

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1278 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1033654900
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2016
Record last updated: 30 Dec 2016

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.