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Individual

DESTINY FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
5000 ELDORADO PKWY STE 430, FRISCO, TX 75033-8608
(214) 436-4606
(214) 436-4794
Mailing address
4518 HODGE RD, MEMPHIS, TN 38109-5912

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP017120T
TX
225100000X
Physical Therapist

Other

Enumeration date
04/25/2022
Last updated
12/20/2022
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