Brian Mitchell Wilson, OTR

NPI #1235895319 in Nampa, Idaho

Provider Information

NPI Number: 1235895319
Entity Type: Individual
Name: Brian Mitchell Wilson, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Nov 12, 2021
Last Updated: Nov 12, 2021

Practice Location

Address: 9850 W ST LUKES DR
City: Nampa
State: Idaho
ZIP Code: 83687-7912
Phone: (469) 585-5771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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