-- NICHOLAS BACCIOCCO --
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1104235720- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1850 BITTERROOT DR, TWIN FALLS, ID, 833013513
- Phone
- (801) 674-5752
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: ID #OTA-1351