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Individual

FARAH-DALE S. MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-7327
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0002
(804) 675-5000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209520
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417337924
MEDICAID QMB PROVIDER ID
VA
01
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
06/01/2015
Last updated
06/22/2018
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