Leung S Tai, COTA

NPI #1639414287 in Rexburg, Idaho

Provider Information

NPI Number
1639414287
Entity Type
Individual
Name
Leung S Tai, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Dec 9, 2012
Last Updated
Dec 9, 2012

Practice Location

Address
634 TREJO ST
State
Idaho
ZIP Code
83440-2579
Phone
(208) 761-0252

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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