Crockford, Gina M

Crockford, Gina M is an individual health care provider with primary practice located at 1001 S Hilton St , Boise ID 83705-1925. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Crockford, Gina M can be contacted via phone (208) 345-4464.

Contact Information

Primary practice address
1001 S Hilton St Boise ID 83705-1925
Phone: (208) 345-4464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 006 Idaho

Profile Details

NPI number 1598928228
LBN Legal business name Crockford, Gina M
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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