Individual
MRS. ELIZABETH MARIE FURNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
36 PROFESSIONAL PLZ STE 110, REXBURG, ID 83440-2049
(208) 359-9570
Mailing address
4463 W 2000 S, REXBURG, ID 83440-3652
(801) 231-5914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP-3028
ID
Other
Enumeration date
11/15/2006
Last updated
03/21/2023
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