Individual
JOANNE TALA FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACC
Contact information
Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 785-7190
Mailing address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 785-7190
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1170083333
ATHLETICS AND FITNESS ASSOCIATION
NV
01
—
ACC300024
NATIONAL CERTIFICATION COUNCIL FOR ACTIVITY PROFESSIONALSACC
NV
Enumeration date
11/18/2017
Last updated
11/18/2017
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