BRENT RANDALL
Occupational Therapist
Active
Individual
NPI: 1497913123
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | OT-556 (ID) |
Frequently Asked Questions
NPI 1497913123 is the National Provider Identifier for BRENT RANDALL, a Occupational Therapist provider located in Kimberly, ID. This NPI was enumerated on May 29, 2008.
BRENT RANDALL practices at 302 GARNET DR, Kimberly, ID 83341.
Quick Facts
- NPI
- 1497913123
- Type
- Individual
- Enumerated
- May 29, 2008
- Last Updated
- May 29, 2008
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