Individual provider · Type 1 NPI

Ana Desirae Ridener, MOT

Occupational Therapist · Pocatello, ID

NPI number 1205119401 Active

Practice location

1071 Renee Ave
Pocatello, ID 83201-2508

Call (208) 233-1441 Map

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT-1081 (ID)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

6 other providers at this address

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About NPI 1205119401

Ana Desirae Ridener, MOT's National Provider Identifier is 1205119401, issued on Sep 23, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 23, 2011.