IndividualActive
Brandon Fowler
NPI 1508440421 · Occupational Therapist · Twin Falls, ID
Provider details
- NPI number
- 1508440421
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- OTL-2379 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
775 Pole Line Rd W Ste 307
Twin Falls, ID 83301-5823
Phone: (208) 814-1000
Approximate (ZIP-level) locationGet directions
Mailing address
775 Pole Line Rd W Ste 307
Twin Falls, ID 83301-5823
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.