De Guzman, Mary Ann Mendoza

De Guzman, Mary Ann Mendoza is an sole proprietor health care provider with primary practice located at 1200 Hospital Way , Pocatello ID 83201-2708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as her primary health care specialty. De Guzman, Mary Ann Mendoza can be contacted via phone (208) 232-2570.

Contact Information

Primary practice address
1200 Hospital Way Pocatello ID 83201-2708
Phone: (208) 232-2570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X OT-906 Idaho

Profile Details

NPI number 1376842419
LBN Legal business name De Guzman, Mary Ann Mendoza
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2011
Last updated Mar 15th, 2011 - about 13 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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