NPI 1174179600

Kimberly Anne Dannhardt, COTA

Practitioner Occupational Therapy Assistant Boise, ID

Practice location

Address: 1410 S Broadway Ave, Boise, ID 83706-3706
Phone: (208) 949-3481
Fax: (208) 629-1611

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1449 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1174179600
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2019
Record last updated: 12 Aug 2019

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.