Individual
DR. PENNY LANE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 390-5575
(317) 486-2189
Mailing address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 390-5575
(317) 486-2189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009423A
IN
225100000X
Physical Therapist
22939
FL
Other
Enumeration date
10/06/2006
Last updated
12/19/2007
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