AUSTIN STODDARD

BURLEY, ID
NPI1073222659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-8373)
Enumeration Date2022-11-22
Last Update Date2022-11-22
Business Address
AUSTIN STODDARD DPT
1263 BENNETT AVE STE 2
BURLEY, ID 83318-4906
Phone number: 208-678-1191
Mailing Address
AUSTIN STODDARD DPT
1263 BENNETT AVE STE 2
BURLEY, ID 83318-4906
Phone number: 208-678-1191
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