Jessica M Diviesti, OTR/L
NPI #1972845261 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1972845261
- Entity Type
- Individual
- Name
- Jessica M Diviesti, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Mar 25, 2013
- Last Updated
- Mar 25, 2013
Practice Location
- Address
- 935 SAFSTROM DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4107
- Phone
- (208) 520-2120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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