IndividualActive
Mary Ann De Guzman, OT
NPI 1376842419 · Gerontology Occupational Therapist · Pocatello, ID
Provider details
- NPI number
- 1376842419
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT-906 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1200 Hospital Way
Pocatello, ID 83201-2708
Phone: (208) 232-2570
Approximate (ZIP-level) locationGet directions
Mailing address
2535 Woodhill Way
Pocatello, ID 83201-2613
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2011-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.