NPI 1710460423

Brooke Leigh Blanchard, COTA

Practitioner Occupational Therapy Assistant Pocatello, ID

Practice location

Address: 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727
Phone: (208) 235-7800
Mailing address: 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1965 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1710460423
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2018
Record last updated: 9 Sep 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.