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BRENDA LAINE BARTHOLOW OTR/L

Individual Provider (NPI-1) Active

Occupational Therapist

Provider Information

NPI Number
1881080158
Provider Type
Individual Provider (NPI-1)
Credentials
OTR/L
Status
Active

Contact & Location

Address
427 LEWIS ST, MOSCOW, ID, 838433117
Phone
(208) 717-1623
Fax
(208) 955-3686

Specialties & Taxonomies

Occupational Therapist License: ID #OT-2673
Occupational Therapist Primary License: WA #TL60553261

All Addresses

LOCATION

427 LEWIS ST

MOSCOW, ID, 838433117

(208) 717-1623

MAILING

427 LEWIS ST

MOSCOW, ID, 838433117

(208) 717-1623