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

Individual provider Occupational Therapy Assistant · NPI 1639414287

Leung S Tai, COTA is an Occupational Therapy Assistant in Rexburg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2012
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

634 Trejo St
Rexburg, ID 83440-2579
Phone: (208) 761-0252
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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 OTA-1064 (ID)

Record details

NPI number1639414287
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedDecember 9, 2012
Last updated in NPPESDecember 9, 2012

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