Organization
TODD FARRELL
Active
Other names
Muscular Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE A FARRELL (OFFICE MANAGER)
(814) 353-9155
Entity
Organization
Contact information
Practice address
3208 BENNER PIKE, SUITE 130, BELLEFONTE, PA 16823-8475
(814) 353-9155
Mailing address
3208 BENNER PIKE, SUITE 130, BELLEFONTE, PA 16823-8475
(814) 353-9155
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237909
HEALTHAMERICA/HEALTHASSUR
PA
01
—
50026720
CAPITAL BLUECROSS
PA
01
—
MU1747553
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/28/2005
Last updated
07/25/2007
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