Individual
MR. JEFFREY FRED FARRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11671 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-4784
(763) 585-0605
Mailing address
11671 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-4784
(763) 585-0605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1026
MN
Other
Enumeration date
03/11/2007
Last updated
07/08/2014
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