Individual provider · Type 1 NPI

Breanna Kristine Jenks, COTA/L

Occupational Therapy Assistant · Lewiston, ID

NPI number 1699029439 Active

Practice location

1014 Burrell Ave
Lewiston, ID 83501-5589

Call (208) 743-4558 Map

Mailing address

1291 Sycamore St
Clarkston, WA 99403-2201

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1182 (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 1699029439

Breanna Kristine Jenks, COTA/L's National Provider Identifier is 1699029439, issued on Nov 1, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lewiston, ID. The record was last updated on Nov 1, 2012.