IndividualActive
Beth Jacob, OTR/L
NPI 1114257524 · Occupational Therapist · Boise, ID
Provider details
- NPI number
- 1114257524
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
405 W Myrtle St
Boise, ID 83702-7658
Phone: (208) 489-5880
Approximate (ZIP-level) locationGet directions
Mailing address
2820 N Pauley Dr
Boise, ID 83704-6034
Registry dates
- Enumerated
- 2010-01-06
- Last updated
- 2013-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.