Individual
MS. KAYLA LYNN FARNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
350 POPLAR DR, PETERSBURG, VA 23805-9367
(804) 733-6874
Mailing address
7781 CHEATHAMS RD, AMELIA COURT HOUSE, VA 23002-2803
(804) 212-8095
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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