Kelly Elizabeth Thompson, OTR/L

NPI #1306022041 in Pocatello, Idaho

Provider Information

NPI Number: 1306022041
Entity Type: Individual
Name: Kelly Elizabeth Thompson, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 11, 2008
Last Updated: Jan 11, 2008

Practice Location

Address: DEPARTMENT OF PHYSICAL AND OCCUPATIONAL THERAPY
Address 2: MAIL STOP 8045
City: Pocatello
State: Idaho
ZIP Code: 83209-0001
Phone: (208) 282-4097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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