Individual
KIRSTEN FARNWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
36 PROFESSIONAL PLZ STE 110, REXBURG, ID 83440-2049
(208) 359-9570
(208) 359-9580
Mailing address
36 PROFESSIONAL PLZ STE 110, REXBURG, ID 83440-2049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1491
ID
Other
Enumeration date
08/25/2015
Last updated
10/14/2020
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