Individual
FARRAH IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
505 E 3RD AVE, SPOKANE, WA 99202-1426
(509) 342-3845
Mailing address
2646 E 40TH AVE, SPOKANE, WA 99223-4408
(509) 413-3748
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60031538
WA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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