Mrs. JACLYN ANN CHAVEZ -- OTR/L
Individual Provider (NPI-1)
Active
Occupational Therapist
Provider Information
- NPI Number
1750543930- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OTR/L
- Status
- Active
Contact & Location
- Address
- 3600 COUNTRY CLUB DR, LEWISTON, ID, 835019621
- Phone
- (208) 503-2194
Specialties & Taxonomies
Occupational Therapist
Primary License: ID #OT-768
Occupational Therapist
License: WA #00004442