NPI 1013029792
Brian Lane Olson
Practice location
- Address
- 510 E 17th St # 400, Idaho Falls, ID 83404-6154
- Phone
- (208) 589-0807
Registered specialties
Pediatric Occupational Therapist
Primary
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.