Individual
ALLISON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1250 IDAHO ST, LEWISTON, ID 83501-1965
(208) 799-5219
Mailing address
1250 IDAHO ST, PO BOX 719, LEWISTON, ID 83501-1965
(208) 799-5219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60286464
WA
225X00000X
Occupational Therapist
OT-1048
ID
Other
Enumeration date
09/27/2012
Last updated
11/07/2013
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