Individual
MRS. PHYLLIS L. FARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
(864) 229-2663
(864) 227-9510
Mailing address
102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
(864) 229-2663
(864) 323-0510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4489
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00611142
RAILROAD MEDICARE MEMBER PTAN
SC
Enumeration date
10/26/2006
Last updated
09/03/2010
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