Individual
MISS MARTHA ANN FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
30 E LITTLE AVE, DRIGGS, ID 83422
(208) 709-2911
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002321
IA
Other
Enumeration date
12/18/2013
Last updated
03/08/2023
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