Provider Demographics
NPI:1407526965
Name:FARLEY, JANIE LYNN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:LYNN
Last Name:FARLEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:JANE
Other - Middle Name:LYNN
Other - Last Name:FARLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:600 S PROMENADE BLVD APT 1806
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1740
Mailing Address - Country:US
Mailing Address - Phone:816-804-0115
Mailing Address - Fax:
Practice Address - Street 1:2510 W HUDSON RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-2072
Practice Address - Country:US
Practice Address - Phone:479-936-1061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist