NPI 1376213850

Brooke Sue Rupe, COTAL

Practitioner Occupational Therapy Assistant Idaho Falls, ID

Practice location

Address: 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237
Phone: (208) 535-1286
Mailing address: 2615 Rebel Rd, Ammon, ID 83406

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-2264 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1376213850
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2021
Record last updated: 16 Sep 2021

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.