Individual
JAMIE L FARRIS
Active
Individual
JAMIE L FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5576
CO
2251H1200X
Hand Physical Therapist
Primary
5576
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5576
LICENSE #
CO
Enumeration date
08/29/2006
Last updated
03/25/2021
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