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Brad Archibald, OTR

NPI 1902927056 · on the registry since 2007

Practice

Address
4893 Camas Creek Cir.
Iona, ID 83427
Phone
(208) 351-0651
Fax
(208) 528-0989

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho