Individual
JANICE KYTLE SEARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED OTR/L-ATP
Contact information
Practice address
1820 E 17TH STREET, SUITE 120, IDAHO FALLS, ID 83404-6472
(208) 529-3358
(208) 529-3382
Mailing address
1820 E 17TH STREET, SUITE 120, IDAHO FALLS, ID 83404-6472
(208) 529-3358
(208) 529-3382
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
OT009
ID
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
OT009
ID
225XH1200X
Hand Occupational Therapist
OT009
ID
225XP0200X
Pediatric Occupational Therapist
OT009
ID
Other
Enumeration date
10/02/2006
Last updated
01/11/2012
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