Individual
ANDREA J. FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 W WASHINGTON AVE, CHRISMAN, IL 61924-1042
(217) 269-2105
Mailing address
9492 N 300 W, PERRYSVILLE, IN 47974-8141
(217) 304-2732
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057002230
IL
224Z00000X
Occupational Therapy Assistant
Primary
32001051A
IN
Other
Enumeration date
07/01/2008
Last updated
02/07/2022
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