Basic Information
Provider Information
NPI: 1194213611
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: ROXIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1928 N 600 E
Address2:  
City: OGDEN
State: UT
PostalCode: 844143108
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4401 HARRISON BLVD
Address2:  
City: OGDEN
State: UT
PostalCode: 844033195
CountryCode: US
TelephoneNumber: 8013872800
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/30/2018
LastUpdateDate: 11/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X9569387-4201UTY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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