Individual
GEORGENE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DEBARTOLO PL, SUITE 200, BOARDMAN, OH 44512-7011
(330) 965-7828
Mailing address
53 GREYSTONE, POLAND, OH 44514-4209
(330) 261-2755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.002580
OH
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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