Individual
LYDIA FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 THE CLIFFS BLVD, MONTGOMERY, TX 77356-4745
(281) 645-9342
Mailing address
1001 THE CLIFFS BLVD, MONTGOMERY, TX 77356-4745
(281) 645-9342
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2029395
TX
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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