Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gerald Angelo Caballero Deocariza Jr., OTD, OTR/L

Individual provider Occupational Therapist · NPI 1649991753

Dr. Gerald Angelo Caballero Deocariza Jr., OTD, OTR/L is an Occupational Therapist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

411 W Haycraft Ave Ste D1
Coeur D Alene, ID 83815-8104
Phone: (208) 664-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-2642 (ID)

Record details

NPI number1649991753
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedSeptember 7, 2022
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

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