BRIAN MITCHELL WILSON

NAMPA, ID
NPI1235895319
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-2031)
Enumeration Date2021-11-12
Last Update Date2021-11-12
Business Address
BRIAN MITCHELL WILSON OTR
9850 W ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 469-585-5771
Mailing Address
BRIAN MITCHELL WILSON OTR
9850 W ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 469-585-5771
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