Individual
KELLY ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
DEPARTMENT OF PHYSICAL AND OCCUPATIONAL THERAPY, MAIL STOP 8045, POCATELLO, ID 83209-0001
(208) 282-4097
Mailing address
DEPARTMENT OF PHYSICAL AND OCCUPATIONAL THERAPY, MAIL STOP 8045, POCATELLO, ID 83209-0001
(208) 282-4097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-642
ID
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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