NPI 1386189306

Robin Rutherford, COTA

Practitioner Occupational Therapy Assistant Pocatello, ID

Practice location

Address: 527 Memorial Dr, Pocatello, ID 83201-4063
Phone: (208) 478-3333
Mailing address: 1936 E Center St, Pocatello, ID 83201-3309

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence N16A00147165 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1386189306
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2016
Record last updated: 29 Dec 2016

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.