Individual
JIM THOMAS CRITTENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1740 E 17TH ST STE A, IDAHO FALLS, ID 83404-6375
(208) 346-7500
Mailing address
1740 E 17TH ST STE A, IDAHO FALLS, ID 83404-6375
(208) 346-7500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-591
ID
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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