Individual
KENYATA FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3939 S 92ND ST, GREENFIELD, WI 53228-2140
(414) 321-1800
Mailing address
3939 S 92ND ST, GREENFIELD, WI 53228-2140
(414) 321-1800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
627-19
WI
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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