Individual
LONNI FARERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
1122 S 216TH ST, DES MOINES, WA 98198-8301
(206) 824-3663
Mailing address
3215 NE 143RD ST APT B406, SEATTLE, WA 98125-3791
(269) 998-5735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60908098
WA
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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