NPI 1215361985

Matthew Christopher Borton, COTA

Practitioner Occupational Therapy Assistant Coeur D Alene, ID

Practice location

Address: 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403
Phone: (208) 664-2185
Mailing address: 18033 N 7th Dr, Phoenix, AZ 85023-1503

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5240 (AZ)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1215361985
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2013
Record last updated: 14 Jul 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.