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Individual

MS. CATHERINE MARY FARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
555 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 764-9675
Mailing address
5 BLACKSTONE CT, LE CLAIRE, IA 52753-2300
(508) 423-0252

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
106291
IA
225200000X
Physical Therapy Assistant
160.009099
IL

Other

Enumeration date
06/16/2021
Last updated
06/16/2021
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