IndividualActive
Brian Wilson, OTR
NPI 1235895319 · Occupational Therapist · Nampa, ID
Provider details
- NPI number
- 1235895319
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- No
- License
- OT-2031 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone: (469) 585-5771
Approximate (ZIP-level) locationGet directions
Mailing address
9850 W St Lukes Dr
Nampa, ID 83687-7912
Registry dates
- Enumerated
- 2021-11-12
- Last updated
- 2021-11-12
- Certified
- 2021-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.