Individual
MICHELE MCNULTY FARNETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
60929 SUMMERWOOD WAY, BEND, OR 97702-2783
(541) 678-3263
Mailing address
60929 SUMMERWOOD WAY, BEND, OR 97702-2783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4694
OR
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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