Individual
MRS. MAGDALENA WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E ALICE ST, BLACKFOOT, ID 83221-4925
(208) 782-2625
(208) 785-1003
Mailing address
701 E ALICE ST, BLACKFOOT, ID 83221-4925
(208) 782-2625
(208) 782-2625
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q00000X
ID
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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