Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1073756847 |
---|---|
Provider Name | Brett Soloai |
First Address | Powell, WY 82435 |
Second Address | Powell, WY 82435-2260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2009 |
Last Update Date | 09/04/2009 |