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Contact Information

TAMRA DIMOND, COTA/L, CLT
840 ADDISON AVE
TWIN FALLS, ID83301-5203
 Phone: 208-595-4941
 Fax: 208-595-4931
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for TAMRA DIMOND · (Female)

NPI Number 1912496506
Status Active
Credentials COTA/L, CLT
Entity Individual
Enumeration date 05/09/2018
Last updated 05/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # OTA-1643
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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