NPI 1437679362

Erin Degroot, COTAL

Practitioner Occupational Therapy Assistant Idaho Falls, ID

Practice location

Address: 3111 Channing Way, Idaho Falls, ID 83404-7534
Phone: (208) 529-0067
Mailing address: 2270 Stace St, Idaho Falls, ID 83401-5231

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1583 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1437679362
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2017
Record last updated: 17 Mar 2018

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.