Individual
REBECCA JO ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 360-8005
(208) 359-9580
Mailing address
PO BOX 711, REXBURG, ID 83440-0711
(208) 359-9570
(208) 359-9580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTLP-256
ID
Other
Enumeration date
06/20/2008
Last updated
04/05/2019
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