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Jennifer Ford, PTA
NPI 1679731020 · on the registry since 2008
Practice
- Address
- 557 Park St Apt 6
Lewiston, ID 83501 - Phone
- (208) 305-4636
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho