Individual
JENIFER ANN HOWERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
420 ROWE ST, MOSCOW, ID 83843-9319
(208) 882-4576
(208) 892-8776
Mailing address
420 ROWE ST, MOSCOW, ID 83843-9319
(208) 882-4576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-601
ID
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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