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DARCEY LYNN CARR COTA

Individual Provider (NPI-1) Active

Occupational Therapy Assistant

Provider Information

NPI Number
1578234233
Provider Type
Individual Provider (NPI-1)
Credentials
COTA
Status
Active

Contact & Location

Address
75 LILAC ST, BLACKFOOT, ID, 832211768
Phone
(208) 785-9917

Specialties & Taxonomies

Occupational Therapy Assistant Primary License: ID #OT-2250

All Addresses

LOCATION

75 LILAC ST

BLACKFOOT, ID, 832211768

(208) 785-9917

MAILING

75 LILAC ST

BLACKFOOT, ID, 832211768