IndividualActive
Brenda Bartholow, OTR/L
NPI 1881080158 · Occupational Therapist · Moscow, ID
Provider details
- NPI number
- 1881080158
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT-2673 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
427 Lewis St
Moscow, ID 83843-3117
Phone: (208) 717-1623
Fax: (208) 955-3686
Approximate (ZIP-level) locationGet directions
Mailing address
427 Lewis St
Moscow, ID 83843-3117
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2023-11-24
- Certified
- 2023-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.