NPI 1689485146

Holly Noelle Pace, OTRL

Practitioner Pediatric Occupational Therapist Chubbuck, ID

Practice location

Address: 240 W Burnside Ave STE D, Chubbuck, ID 83202-4703
Phone: (208) 904-1112
Mailing address: 1053 W 110 S, Blackfoot, ID 83221-6057

Registered specialties

Pediatric Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence OT-2890 (ID)

Other Occupational Therapist providers in Idaho →

Registry record

NPI: 1689485146
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2025
Record last updated: 15 Jan 2025

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.