Whalio Doctors

NPI 1013029792

Brian Lane Olson

Practitioner Pediatric Occupational Therapist Idaho Falls, ID

Practice location

Address
510 E 17th St # 400, Idaho Falls, ID 83404-6154
Phone
(208) 589-0807

Registered specialties

Pediatric Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence OT-513 (ID)

Registry record

NPI
1013029792
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.