Individual
MAURA DOROTHY FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7015 CARNATION ST, RICHMOND, VA 23225-5294
(804) 320-1412
Mailing address
713 FOUNDERS CREST CT, MIDLOTHIAN, VA 23113-6375
(804) 594-7270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000872
VA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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