MRS. Jacquie Kathleen Jenkins, COTA/L

NPI #1659817013 in Pocatello, Idaho

Provider Information

NPI Number
1659817013
Entity Type
Individual
Name
MRS. Jacquie Kathleen Jenkins, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jan 10, 2017
Last Updated
Jan 10, 2017

Practice Location

Address
527 MEMORIAL DRIVE
State
Idaho
ZIP Code
83201
Phone
(208) 478-3333

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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