NPI 1659817013

Jacquie Kathleen Jenkins, COTAL

Practitioner Occupational Therapy Assistant Pocatello, ID

Practice location

Address: 527 Memorial Drive, Pocatello, ID 83201
Phone: (208) 478-3333
Mailing address: 4913 Pleasant View Dr, Chubbuck, ID 83202

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1373 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1659817013
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2017
Record last updated: 10 Jan 2017

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.