NPI 1235895319

Brian Mitchell Wilson, OTR

Practitioner Occupational Therapist Nampa, ID

Practice location

Address: 9850 W St Lukes Dr, Nampa, ID 83687-7912
Phone: (469) 585-5771

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT-2031 (ID)

Other Occupational Therapist providers in Idaho →

Registry record

NPI: 1235895319
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2021
Record last updated: 12 Nov 2021

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.