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Contact Information

JACOB A BELLOLI, OTR/L
120 E HOWARD ST
DRIGGS, ID83422-5112
 Phone: 208-354-2383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACOB A BELLOLI · (Male)

NPI # 1669209532
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 09/16/2024
Last updated 09/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # OT-2592
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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