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Contact Information

DOUGLAS ANDERSON, COTA/L, CEAS
234 CARNEY ST
TWIN FALLS, ID83301-5010
 Phone: 208-410-0607
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for DOUGLAS ANDERSON · (Male)

NPI # 1497183396
Status Active
Credentials COTA/L, CEAS
Entity Individual
Enumeration date 10/31/2013
Last updated 10/31/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ID License # OTA-063
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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