Individual
AMANDA FRANCES FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2519 RYAN ST, LAKE CHARLES, LA 70601-7323
(337) 491-0800
Mailing address
2726A RYAN RD, LAKE CHARLES, LA 70605-5949
(847) 903-4281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08460R
LA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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