| NPI | 1003903782 |
|---|---|
| Other Name | PENNYLANE FARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009423A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22939) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-12-19 |