NPI 1184882680

Gayle Joleen Fothergill, COTAL

Practitioner Occupational Therapy Assistant Coeur D Alene, ID

Practice location

Address: 500 W Aqua Ave, Coeur D Alene, ID 83815-7764
Phone: (208) 762-1122
Fax: (208) 762-1680

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-009 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1184882680
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2008
Record last updated: 30 May 2008

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.