Individual
LISA FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
(480) 210-6556
Mailing address
755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
(480) 210-6556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356895924
—
AZ
05
—
LPT-30185
—
AZ
Enumeration date
08/11/2016
Last updated
03/01/2022
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