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Individual

STEFANIE MARTIN FARINHOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSOT

Contact information

Practice address
427 W CENTERTON BLVD, CENTERTON, AR 72719-8701
(479) 795-1260
(479) 795-1261
Mailing address
10755 LAKESIDE RD, LOWELL, AR 72745-9382
(479) 633-5592

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
09/30/2010
Last updated
09/30/2010
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