| NPI | 1255880274 |
|---|---|
| Former Name | HOLLY FARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025448) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA PT025448) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2018-06-05 |