Idris Jamal Shelby Valid NPI

Individual provider · Occupational Therapy Assistant · Twin Falls, ID

NPI

1679964977

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

OTA-1029 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2015-02-09

Last updated

2015-02-09