Individual provider · Type 1 NPI

Brent Randall

Occupational Therapist · Kimberly, ID

NPI number 1497913123 Active

Practice location

302 Garnet Dr
Kimberly, ID 83341-1931

Mailing address

414 N Lincoln Ave Ste 5
Jerome, ID 83338-2300

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT-556 (ID)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1497913123

Brent Randall's National Provider Identifier is 1497913123, issued on May 29, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kimberly, ID. The record was last updated on May 29, 2008.