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Gail Brown, OTR

Occupational Therapist, Pediatrics in Boise, ID. Individual provider (NPI-1).

NPI number1609237486
StatusActive
Last updated in NPPESMar 8, 2016

Details

NPI
1609237486
Entity type
Individual (NPI-1)
Name
Gail Brown
Credential
OTR
Sex
Female
Sole proprietor
No
Enumeration date
Mar 8, 2016
Last updated
Mar 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, PediatricsOT-050IDYes

Practice location

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-2138

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-2138

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