NPI 1457511081

Audrey Mae Lande, COTAL

Practitioner Occupational Therapy Assistant Weiser, ID

Practice location

Address: 331 E Park St, Weiser, ID 83672-2053
Phone: (208) 549-2416
Fax: (208) 549-0536
Mailing address: 4430 Casa Rio Dr, Ontario, OR 97914-8559

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-102 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1457511081
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2008
Record last updated: 17 Jun 2008

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.