Individual
PAUL JSTIN MARCOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2651 SAINT FRANCIS DR, WATERLOO, IA 50702-5442
(319) 232-6808
Mailing address
2651 SAINT FRANCIS DR, WATERLOO, IA 50702-5442
(319) 232-6808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
077050
IA
Other
Enumeration date
11/08/2015
Last updated
11/08/2015
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