Jennifer Alderson

Individual provider Active NPI Occupational Therapist · Meridian, ID

NPI 1437572096 · NPPES record last updated Jan 31, 2014

Key facts

NPI
1437572096
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT-1065 (ID)
Practice address
2051 E Strauss CT
Meridian, ID 83646-5270
Phone
(307) 620-1141
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT-1065IDMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-1065 ID Yes

Addresses

Primary practice location

2051 E Strauss CT
Meridian, ID 83646-5270

Mailing address

2051 E Strauss CT
Meridian, ID 83646-5270
Phone (307) 620-1141

Other providers in Meridian, ID

All providers in Meridian, ID · Occupational Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.