BRENDA LAINE BARTHOLOW

MOSCOW, ID
NPI1881080158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WA  TL60553261)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: ID  OT-2673)
Enumeration Date2015-04-13
Last Update Date2023-11-24
Business Address
BRENDA LAINE BARTHOLOW OTR/L
427 LEWIS ST
MOSCOW, ID 83843-3117
Phone number: 208-717-1623
Mailing Address
BRENDA LAINE BARTHOLOW OTR/L
427 LEWIS ST
MOSCOW, ID 83843-3117
Phone number: 208-717-1623