Diviesti, Jessica M

Diviesti, Jessica M is an sole proprietor health care provider with primary practice located at 935 Safstrom Dr , Idaho Falls ID 83401-4107. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Diviesti, Jessica M can be contacted via phone (208) 520-2120.

Contact Information

Primary practice address
935 Safstrom Dr Idaho Falls ID 83401-4107
Phone: (208) 520-2120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-820 Idaho

Profile Details

NPI number 1972845261
LBN Legal business name Diviesti, Jessica M
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2013
Last updated Mar 25th, 2013 - about 11 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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