NPI 1205532447

Tiffany Hart Hernandez, COTA

Practitioner Occupational Therapy Assistant Meridian, ID

Practice location

Address: 3086 W Milano Dr, Meridian, ID 83646-7288
Phone: (208) 996-0552
Mailing address: 9226 W Stirrup Dr, Boise, ID 83709-5799

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2680 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1205532447
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2023
Record last updated: 31 Jan 2023

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.