Individual
RACHAEL DORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 334-5700
Mailing address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2529
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-2529
IDAHO BOARD OF LICENSURE
ID
Enumeration date
03/07/2022
Last updated
03/07/2022
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