Laura Ann Andrews, COTA

Individual provider Active NPI Occupational Therapy Assistant · Twin Falls, ID

NPI 1992049290 · NPPES record last updated Nov 27, 2012

Key facts

NPI
1992049290
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA210 (ID)
Practice address
640 Filer Ave W
Twin Falls, ID 83301-4533
Phone
(208) 734-8645
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

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
OTA210IDMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA210 ID Yes

Addresses

Primary practice location

640 Filer Ave W
Twin Falls, ID 83301-4533

Mailing address

640 Filer Ave W
Twin Falls, ID 83301-4533
Phone (208) 734-8645

Other providers in Twin Falls, ID

All providers in Twin Falls, ID · Occupational Therapy Assistant in Idaho

Sources for this page

Verify at the official NPI Registry.