Individual
STACEY MCFARLAND-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-8401
Mailing address
1938 S LONDONER WAY, BOISE, ID 83706-4359
(208) 866-4117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-512
ID
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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