Individual
RHONDA L SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
725 POLE LINE RD W, TWIN FALLS, ID 83301-5860
(208) 814-1600
Mailing address
725 POLE LINE RD W, TWIN FALLS, ID 83301-5860
(208) 814-1600
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
OT-2462
ID
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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