Individual
BREANA HAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2913
ID
Other
Enumeration date
06/12/2020
Last updated
02/07/2024
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