NPI 1164673877

Christine Dickens, OT

Practitioner Specialist Nampa, ID

Practice location

Address: 16171 N Brinson St, Nampa, ID 83687-5509
Phone: (208) 442-2525
Fax: (208) 442-2505

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OT-663 (ID)

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Registry record

NPI: 1164673877
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2008
Record last updated: 10 Aug 2015

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.