NPI 1104235720

Nicholas Bacciocco

Practitioner Occupational Therapy Assistant Twin Falls, ID

Practice location

Address: 1850 Bitterroot Dr, Twin Falls, ID 83301-3513
Phone: (801) 674-5752

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1351 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1104235720
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2014
Record last updated: 7 Aug 2014

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.