Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breanna Kristine Jenks, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1699029439

Breanna Kristine Jenks, COTA/L is an Occupational Therapy Assistant in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1014 Burrell Ave
Lewiston, ID 83501-5589
Phone: (208) 743-4558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 1182 (ID)

Record details

NPI number1699029439
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedNovember 1, 2012
Last updated in NPPESNovember 1, 2012

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