Individual
MARCIA B AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IP
Contact information
Practice address
109 S 1ST E, PRESTON, ID 83263-1303
(208) 852-0175
Mailing address
172 W 500 N, LOGAN, UT 84321-3929
(435) 799-5367
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
ID
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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