Individual
MAKENA FORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
12020 PACIFIC ST, OMAHA, NE 68154-3507
(402) 614-8571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2719
ID
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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