MRS. Jaclyn Ann Chavez, OTR/L

NPI #1750543930 in Lewiston, Idaho

Provider Information

NPI Number
1750543930
Entity Type
Individual
Name
MRS. Jaclyn Ann Chavez, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Jun 27, 2008
Last Updated
Apr 23, 2017

Practice Location

Address
3600 COUNTRY CLUB DR
State
Idaho
ZIP Code
83501-9621
Phone
(208) 503-2194

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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