Individual
MS. KATHLEEN FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
350 PYTHIAN RD, SANTA ROSA, CA 95409-6368
(707) 539-0524
Mailing address
350 PYTHIAN RD, SANTA ROSA, CA 95409-6368
(707) 539-0524
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 1010
CA
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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