Wkl Edgerly, COTA/L Valid NPI

Individual provider · Occupational Therapy Assistant · Eagle, ID

NPI

1619335502

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

OTA-1121 (ID)

Sex

Female

Sole proprietor

Yes

Enumerated

2016-02-05

Last updated

2016-02-05