DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY ANN MENDOZA DE GUZMAN, OT

Active Sole Proprietor

Gerontology Occupational Therapist · POCATELLO, ID

Registration Details

NPI Number
1376842419
Provider Type
Individual
Gender
Female
NPI Issued
Mar 15, 2011 (15.102618642907 yrs)
Last Updated
Mar 15, 2011
License
OT-906 (ID)
Sole Proprietor
Yes

Practice Information

Address
1200 HOSPITAL WAY
POCATELLO, ID, 832012708
Browse ID providers · Browse ZIP 83201
Phone
2082322570
Primary Specialty
Gerontology Occupational Therapist
225XG0600X
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.