Individual
SHAY N FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-6031
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-6031
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160.004069
IL
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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