Individual
JENNIFER ANN KINGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1828 BRIDGEVIEW BLVD, TWIN FALLS, ID 83301-3051
(208) 736-3933
Mailing address
1828 BRIDGEVIEW BLVD, TWIN FALLS, ID 83301-3051
(208) 736-3933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT914
ID
Other
Enumeration date
08/12/2009
Last updated
03/20/2013
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