Breanna Kristine Jenks, COTA/L

NPI #1699029439 in Lewiston, Idaho

Provider Information

NPI Number
1699029439
Entity Type
Individual
Name
Breanna Kristine Jenks, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Nov 1, 2012
Last Updated
Nov 1, 2012

Practice Location

Address
1014 BURRELL AVE
State
Idaho
ZIP Code
83501-5589
Phone
(208) 743-4558

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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