Individual
MR. JAMES ALBERT KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
4846 WIND RIVER RD, IDAHO FALLS, ID 83401-5828
(208) 339-7234
(208) 552-0395
Mailing address
4846 WIND RIVER RD, IDAHO FALLS, ID 83401-5828
(208) 339-4300
(208) 552-0395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00003463
WA
225XP0200X
Pediatric Occupational Therapist
Primary
OT-843
ID
Other
Enumeration date
09/24/2007
Last updated
07/03/2012
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