MR. Tyson Tony Rothwell, MOTR/L

NPI #1184166886 in Rexburg, Idaho

Provider Information

NPI Number
1184166886
Entity Type
Individual
Name
MR. Tyson Tony Rothwell, MOTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
MOTR/L
Enumeration Date
Nov 11, 2016
Last Updated
Nov 11, 2016

Practice Location

Address
393 E 2ND N
State
Idaho
ZIP Code
83440-1605
Phone
(208) 359-9570

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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