NPI 1497183396

Douglas Anderson, COTALCEAS

Practitioner Occupational Therapy Assistant Twin Falls, ID

Practice location

Address: 234 Carney St, Twin Falls, ID 83301-5010
Phone: (208) 410-0607

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-063 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1497183396
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2013
Record last updated: 31 Oct 2013

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.