NPI | 1760834154 |
---|---|
Other Name | KELLY COLLEEN FARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-012573) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0014057) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2022-02-12 |