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Individual

DANE M FARNWORTH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3525 SPAULDING AVE, PUEBLO, CO 81008-2208
(719) 542-4444
(719) 543-1990
Mailing address
PO BOX 612260, SAN JOSE, CA 95161-2260
(877) 325-2776
(408) 945-4011

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 6541
CO

Other

Enumeration date
12/12/2005
Last updated
07/08/2007
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