Individual
BRENDA FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 TOM TEMPLE DR, LUFKIN, TX 75904-5581
(601) 250-4815
Mailing address
3275 COUNTY ROAD 3802, BULLARD, TX 75757-8374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2039444
TX
Other
Enumeration date
09/23/2008
Last updated
09/29/2008
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