MR. WILLIAM DAVID PENTECOST, COTA
Occupational Therapy at Park St, Jonathan, ID

License number
Idaho OTA-168
Category
Restorative Service Providers
Type
Occupational Therapy Assistant
Address
Address 2
331 E Park St, Jonathan, ID 83672
1486 W Colville Ct, Pearl, ID 83616
Phone
(208) 549-0206
(208) 549-0536 (Fax)
(208) 954-3691
National Provider ID: 1033542196
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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