Individual
MATLYN BENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
707 S 5TH W APT 3502, REXBURG, ID 83440-5222
(602) 390-4698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3061276
ID
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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