NPI 1144635129

Illa Stice

Practitioner Occupational Therapy Assistant Boise, ID

Practice location

Address: 3812 N Tamarack Dr, Boise, ID 83703-4556
Phone: (307) 287-0356

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1151 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1144635129
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2014
Record last updated: 27 Jun 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.