William Pentecost, COTA

NPI 1033542196 · on the registry since 2013

Practice

Address: 331 E Park St
Weiser, ID 83672
Phone: (208) 549-0206
Fax: (208) 549-0536
Organisation at this address: Weiser Of Cascadia, Llc
Kindred Nursing Centers West, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho