NPI 1043795768

Dawna Marie Henderson

Practitioner Occupational Therapy Assistant Idaho Falls, ID

Practice location

Address: 3111 Channing Way, Idaho Falls, ID 83404-7534
Phone: (208) 529-0067
Mailing address: 957 Hoopes Ave APT 204, Idaho Falls, ID 83404-4709

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1986 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1043795768
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2018
Record last updated: 27 Sep 2018

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.