| 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 |