Provider Demographics
NPI:1578719266
Name:HARRINGTON, MYRNA LOU (OT)
Entity Type:Individual
Prefix:MS
First Name:MYRNA
Middle Name:LOU
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 S INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-6457
Mailing Address - Country:US
Mailing Address - Phone:208-459-6041
Mailing Address - Fax:208-459-0346
Practice Address - Street 1:3720 S INDIANA AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-6457
Practice Address - Country:US
Practice Address - Phone:208-459-6041
Practice Address - Fax:208-459-0346
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist