Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 2048 | MS |
NPI | 1043778616 |
---|---|
Provider Name | Paige M Farmer |
First Address | Timberlake, OH 44095-1919 |
Second Address | Timberlake, OH 44095-1919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2019 |
Last Update Date | 03/03/2019 |