Individual
JOSEPH C. OSTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC/SLP
Contact information
Practice address
345 HOMESTEAD LN, IDAHO FALLS, ID 83404-7105
(208) 403-8200
Mailing address
345 HOMESTEAD LN, IDAHO FALLS, ID 83404-7105
(208) 403-8200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1435
ID
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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