BRANDON FOWLER

TWIN FALLS, ID
NPI1508440421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OTL-2379)
Enumeration Date2021-05-06
Last Update Date2021-05-06
Business Address
MR. BRANDON FOWLER
775 POLE LINE RD W STE 307
TWIN FALLS, ID 83301-5823
Phone number: 208-814-1000
Mailing Address
MR. BRANDON FOWLER
775 POLE LINE RD W STE 307
TWIN FALLS, ID 83301-5823
Phone number: 208-814-1000
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