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Organization

KOKUA REHABILITATION

Active
Other names
Hand & Upper Extremity Center
Organization subpart
No

Provider details

NPI number
Authorized official
TIA BURNS MOTR/L, CHT (OWNER)
(208) 680-1838
Entity
Organization

Contact information

Practice address
444 HOSPITAL WAY STE 720, POCATELLO, ID 83201-2717
(208) 478-0258
Mailing address
444 HOSPITAL WAY STE 720, POCATELLO, ID 83201-2717
(208) 478-0258

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary

Other

Enumeration date
09/03/2019
Last updated
04/21/2026
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