AUSTIN WADSWORTH

BLACKFOOT, ID
NPI1871866525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1073)
Enumeration Date2012-02-10
Last Update Date2012-02-10
Business Address
AUSTIN WADSWORTH
881 JAMES ST
BLACKFOOT, ID 83221-3919
Phone number: 435-770-5499
Mailing Address
AUSTIN WADSWORTH
881 JAMES ST
BLACKFOOT, ID 83221-3919
Phone number:
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