MR. William David Pentecost, COTA

NPI #1033542196 in Weiser, Idaho

Provider Information

NPI Number
1033542196
Entity Type
Individual
Name
MR. William David Pentecost, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Aug 13, 2013
Last Updated
Aug 13, 2013

Practice Location

Address
331 E PARK ST
City
Weiser
State
Idaho
ZIP Code
83672-2053
Phone
(208) 549-0206

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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