NPI 1063871960

Jessica Given, COTAL

Practitioner Occupational Therapy Assistant Eagle, ID

Practice location

Address: 449 S Fitness Pl, Eagle, ID 83616-6828
Phone: (208) 937-6301
Fax: (208) 887-7672

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1444 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1063871960
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2016
Record last updated: 19 Feb 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.