Individual
KRISTIN ANN FORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1348 PACHECO ST, SANTA FE, NM 87505-4222
(970) 779-0223
Mailing address
1348 PACHECO ST, UNIT 104, SANTA FE, NM 87505-4222
(970) 779-0223
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3342
NM
Other
Enumeration date
03/12/2015
Last updated
10/03/2016
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