Individual provider · Type 1 NPI
Jake Bundy, MOTR/L
Occupational Therapist · Pocatello, ID
Practice location
560 Memorial Dr Ste B
Pocatello, ID 83201-4073
Mailing address
5082 Brylee Way
Iona, ID 83427-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT-1457 (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…
2 other providers at this address
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About NPI 1972005361
Jake Bundy, MOTR/L's National Provider Identifier is 1972005361, issued on Mar 1, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pocatello, ID. The record was last updated on Mar 1, 2018.