| Doctor Name: | DR. LISA RENEE FARRELL |
| NPI Number: | 1053536185 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., PH.D. |
| License Number: | 0005601 |
| Business Practice Address: | 5200 S University Dr Suite 105 Davie, FL - 333285316 |
| Business Phone Number: | 9543824343 |
| Business Fax Number: | 9543824342 |
| Mailing Address: | 5076 Waters Edge Way, COOPER CITY |
| State: | FL |
| Postal Code: | 333302621 |
| Phone Number: | 9546800747 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 07/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0005601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |