Holly Maurine St John, MOTR/L | |
7 N 600 W, Blackfoot, ID 83221-5533 | |
(208) 709-1200 | |
Not Available |
Full Name | Holly Maurine St John |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 7 N 600 W, Blackfoot, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508147562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-995 (Idaho) | Primary |
Provider Name | Camp Hippo Pediatric Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609032267 PECOS PAC ID: 3678610706 Enrollment ID: O20091022000349 |
Mailing Address | Practice Location Address |
---|---|
Holly Maurine St John, MOTR/L 58 E Rich Ln, Blackfoot, ID 83221-5804 Ph: (208) 709-1200 | Holly Maurine St John, MOTR/L 7 N 600 W, Blackfoot, ID 83221-5533 Ph: (208) 709-1200 |
Morgen Tayler Stott, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7 N 600 W, Blackfoot, ID 83221 Phone: 208-782-2267 | |
Eric Waters, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 N 740 W, Blackfoot, ID 83221 Phone: 208-684-4077 | |
Mrs. Betty Christina Jaques, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 N 600 W, Blackfoot, ID 83221 Phone: 208-684-9812 | |
Austin Wadsworth, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 881 James St, Blackfoot, ID 83221 Phone: 435-770-5499 |