Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEUNG S TAI, COTA
Active Sole ProprietorLEUNG S TAI, COTA is a Occupational Therapy Assistant healthcare provider located in REXBURG, Idaho. NPI 1639414287 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · REXBURG, ID
Registration Details
- NPI Number
- 1639414287
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2012 (13.639399679168 yrs)
- Last Updated
- Dec 9, 2012
- License
-
OTA-1064 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
634 TREJO STREXBURG, ID, 834402579Browse ID providers · Browse ZIP 83440
- Phone
- 2087610252
- 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.