| NPI | 1508933805 |
|---|---|
| Former Name | LOIS FARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01281100) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 946) |
| 225100000X Physical Therapist (Licence: MA 8021) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00145900) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-07-14 |