Farmer, Debora Larsen

Farmer, Debora Larsen is an individual health care provider with primary practice located at 1390 E 20Th St , Farmington NM 87401-9037. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Farmer, Debora Larsen can be contacted via phone (505) 599-8535.

Contact Information

Primary practice address
1390 E 20Th St Farmington NM 87401-9037
Phone: (505) 599-8535
Fax: (505) 599-8536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 421 New Mexico

Profile Details

NPI number 1053482778
LBN Legal business name Farmer, Debora Larsen
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053482778 NPPES
New Mexico MEDICAID B5503

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