Jennifer Longwell, OTR/L
Occupational Therapist in Boise, ID. Individual provider (NPI-1).
NPI number1194350157
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1194350157
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Longwell
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-2173 | ID | Yes |
Practice location
3169 S Bown WayBoise, ID 83706-5400
Phone 208-433-9152
Mailing address
3169 S Bown WayBoise, ID 83706-5400
Phone 208-433-9152
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All 164 Occupational Therapist providers in Boise · All 12,265 providers in Boise
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