Austin Wadsworth

NPI #1871866525 in Blackfoot, Idaho

Provider Information

NPI Number
1871866525
Entity Type
Individual
Name
Austin Wadsworth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Enumeration Date
Feb 10, 2012
Last Updated
Feb 10, 2012

Practice Location

Address
881 JAMES ST
State
Idaho
ZIP Code
83221-3919
Phone
(435) 770-5499

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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