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

DOUGLAS BIRKLAND

Active

DOUGLAS BIRKLAND is a Occupational Therapy Assistant healthcare provider located in STAR, Idaho. NPI 1578189833 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · STAR, ID

Registration Details

NPI Number
1578189833
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2020 (6.1631306789455 yrs)
Last Updated
Jun 23, 2020
License
OTA-1085 (ID)

Practice Information

Address
12222 W BRIDGER BAY DR
STAR, ID, 836695081
Browse ID providers · Browse ZIP 83669
Phone
2083912773
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.