Mr. Court T Church
Mr. Court T Church is an Occupational Therapist in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2010.
- Licensed in
- ID
- In the registry since
- 2010
Practice location Address checks out
2725 E 17th StAmmon, ID 83406-6601
Phone: (208) 529-4567
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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 OT898 (ID) |
|---|
Record details
| NPI number | 1588987812 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 1, 2010 |
| Last updated in NPPES | March 1, 2010 |