Organization
STILL WATERS OCCUPATIONAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HAN (OCCUPATIONAL THERAPIST/OWNER)
(951) 255-9034
Entity
Organization
Contact information
Practice address
424 E SHERMAN AVE STE 307, COEUR D ALENE, ID 83814-2756
(951) 255-9034
Mailing address
424 E SHERMAN AVE STE 307, COEUR D ALENE, ID 83814-2756
(951) 255-9034
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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