-- KENNETH WAYNE SMITH COTA/L ⚕️ Idaho 1740563634

NPI	1740563634
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	224Z00000X Occupational Therapy Assistant (Licence: ID OTA-1091)
Enumeration Date	2011-09-27
Last Update Date	2011-09-27

-- KENNETH WAYNE SMITH COTA/L

12046 W SPRING RIVER CT

BOISE, ID 83709-5160

Phone number: 208-968-4302

-- KENNETH WAYNE SMITH COTA/L

12046 W SPRING RIVER CT

BOISE, ID 83709-5160

Phone number: 208-968-4302