Individual
JACK ALEXANDER FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-3420
Mailing address
7799 COBBLESPRINGS DR, AVON, IN 46123-8665
(317) 385-5251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013468A
IN
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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