Individual provider · Type 1 NPI

Dominique Divece, OTA-2347

Occupational Therapy Assistant · Eagle, ID

NPI number 1568043263 Active

Practice location

449 S Fitness Pl
Eagle, ID 83616-6828

Call (208) 957-6301 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-2347 (ID)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1568043263

Dominique Divece, OTA-2347's National Provider Identifier is 1568043263, issued on Apr 15, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Eagle, ID. The record was last updated on Apr 15, 2021.