Mr Court T Church, | |
2725 E 17th St, Ammon, ID 83406-6601 | |
(208) 529-4567 | |
Not Available |
Full Name | Mr Court T Church |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2725 E 17th St, Ammon, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588987812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT898 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Court T Church, 2667 Aqua Marine Dr, Idaho Falls, ID 83401-6228 Ph: (208) 351-1085 | Mr Court T Church, 2725 E 17th St, Ammon, ID 83406-6601 Ph: (208) 529-4567 |
Megan Krebs, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3750 Founders Pointe Dr, Ammon, ID 83406 Phone: 208-589-0807 Fax: 208-542-9577 | |
Practice Partners, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4185 Birchwood Cir, Ammon, ID 83406 Phone: 208-528-8599 |