Search › Idaho › 225X00000X
Amanda Black, MOT, OTR/L
NPI 1992362818 · on the registry since 2019 · sole proprietor
Practice
- Address
- 510 Elm St
Potlatch, ID 83855 - Phone
- (208) 669-3186
- Fax
- (208) 747-0782
- Organisation at this address
- Palouse Ridge Occupational Therapy Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 904 White Ave, Moscow, ID
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XP0200X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-08
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