William David Pentecost, COTA Valid NPI

Individual provider · Occupational Therapy Assistant · Weiser, ID

NPI

1033542196

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

OTA-168 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2013-08-13

Last updated

2013-08-13