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Individual

BRANDY FARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
170 STONEBRIDGE LN, SOUTHLAKE, TX 76092-0306
(817) 896-5737
Mailing address
6800 WAYFARER TRL, FT WORTH, TX 76137-1663

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066589
TX

Other

Enumeration date
08/16/2018
Last updated
08/16/2018
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