Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KRISTOPHER DWAYNE WALLIN, COTA/L
ActiveMR. KRISTOPHER DWAYNE WALLIN, COTA/L is a Occupational Therapy Assistant healthcare provider located in BOISE, Idaho. NPI 1205215274 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BOISE, ID
Registration Details
- NPI Number
- 1205215274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2015 (11.22600802018 yrs)
- Last Updated
- May 24, 2015
- License
-
OTA-1423 (ID)
Practice Information
- Address
-
8211 W USTICK RDBOISE, ID, 837045756Browse ID providers · Browse ZIP 83704
- Phone
- 2083753700
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MISS REMICK LEI HARDY | COTA | 1932316759 |
| MRS. SARAH L. YODER | B.S.,COTA | 1083815211 |
| GINA M CROCKFORD | COTA | 1598928228 |
| KRISTEN RUSSELL | COTA/L | 1013246669 |
| CRYSTAL HELDER | COTA, CMT | 1821320698 |
| KENNETH WAYNE SMITH | COTA/L | 1740563634 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.