MR. JONATHAN CHIDESTER, OTR/L

Occupational Therapist

Active Individual
NPI: 1639245939

Practice Address

36 PROFESSIONAL PLZ STE 110
Rexburg, ID 83440

Phone: (208) 359-9570

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes OT-756 (ID)

Frequently Asked Questions

NPI 1639245939 is the National Provider Identifier for MR. JONATHAN CHIDESTER, OTR/L, a Occupational Therapist provider located in Rexburg, ID. This NPI was enumerated on November 28, 2006.
MR. JONATHAN CHIDESTER, OTR/L practices at 36 PROFESSIONAL PLZ STE 110, Rexburg, ID 83440.

Quick Facts

NPI
1639245939
Type
Individual
Enumerated
Nov 28, 2006
Last Updated
Aug 1, 2019

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