| NPI | 1033308671 |
|---|---|
| Former Name | JANEEN MARIE FARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021160) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305205235) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2019-08-08 |