| Occupational Therapy Unlimited, Llc | |
|
30 E Little Ave, Driggs, ID 83422-5138 | |
| (208) 709-2911 | |
| Not Available |
| Full Name | Occupational Therapy Unlimited, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 30 E Little Ave, Driggs, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881931319 | NPI | - | NPPES |
| 1881931319 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-835 (Idaho) | Primary |
| 335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Secondary |
| Provider Name | Amanda Enrico |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831381094 PECOS PAC ID: 6608960158 Enrollment ID: I20110216000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Occupational Therapy Unlimited, Llc 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Occupational Therapy Unlimited, Llc 30 E Little Ave, Driggs, ID 83422-5138 Ph: (208) 709-2911 |
Susan Detweiler, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 180 S. Main St, C-2, Broulim's Retail Center, Driggs, ID 83422 Phone: 208-354-3128 | |
Dr. Taryn Lee Weil, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 N Main St, Driggs, ID 83422 Phone: 208-787-6900 | |
Heather Dawn Evans, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 Fax: 208-354-2911 | |
Amanda Cheyenne Enrico, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 | |
Miss Martha Ann Farnsworth, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 E Little Ave, Driggs, ID 83422 Phone: 208-709-2911 | |
Caitlin M Lyon, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 N Highway 33 Ste 106, Driggs, ID 83422 Phone: 208-240-2820 Fax: 208-656-5647 |