Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAD ARCHIBALD, OTR
ActiveBRAD ARCHIBALD, OTR is a Occupational Therapist healthcare provider located in IONA, Idaho. NPI 1902927056 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · IONA, ID
Registration Details
- NPI Number
- 1902927056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2007 (19.183868892772 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OT-637 (ID)
Practice Information
- Address
-
4893 CAMAS CREEK CIR.IONA, ID, 83427Browse ID providers · Browse ZIP 83427
- Phone
- 2083510651
- Fax
- 2085280989
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.