Brad Archibald, OTR

NPI #1902927056 in Iona, Idaho

Provider Information

NPI Number: 1902927056
Entity Type: Individual
Name: Brad Archibald, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4893 CAMAS CREEK CIR.
City: Iona
State: Idaho
ZIP Code: 83427
Phone: (208) 351-0651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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