Individual
OLIVIA MARIE UPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3402 FRANKLIN RD, CALDWELL, ID 83605-6932
(208) 454-0421
Mailing address
3402 FRANKLIN RD, CALDWELL, ID 83605-6932
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
ID
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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