Idaho
Division of Occupational and Professional Licenses
PATRICIA NEIDVIECKY
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 1170
Date granted
09/05/2012
Date expires
07/23/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Not Current
Address
HASTINGS NE 68901
idaholicensing.com
ID 43729730
LAST UPDATED 2026-03-22 10:57:44 UTC
LAST UPDATED 2026-03-22 10:57:44 UTC
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