Search › Idaho › 224Z00000X
Douglas Anderson, COTA/L, CEAS
NPI 1497183396 · on the registry since 2013
Practice
- Address
- 234 Carney St
Twin Falls, ID 83301 - Phone
- (208) 410-0607
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
- 2013-10-31
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