NPI 1144043308

Jenny Sue Brown, COTA

Practitioner Occupational Therapy Assistant Eagle, ID

Practice location

Address: 449 S Fitness Pl, Eagle, ID 83616-6828
Phone: (208) 957-6301
Mailing address: 5940 W Port Ln APT 103, Boise, ID 83703-4892

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-2976 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1144043308
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2024
Record last updated: 6 Nov 2024

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.