Audrey Mae Lande, COTA/L Valid NPI
Individual provider · Occupational Therapy Assistant · Weiser, ID
- NPI
- 1457511081
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 224Z00000X
- License number
- OTA-102 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-06-17
- Last updated
- 2008-06-17
Practice location
331 E Park St
Weiser, ID 83672-2053
(208) 549-2416