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Contact Information

AJ JAQUES, OTRL
9407 N 5TH EAST
INNOVATIVE THERAPY
IDAHO FALLS, ID83401
 Phone: 208-390-2525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AJ JAQUES · (Female)

NPI # 1659461168
Status Active
Credentials OTRL
Entity Individual
Enumeration date 10/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # OT-282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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