Doctor Name: | SPENCER FARRAR |
NPI Number: | 1134589112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT016201 |
Business Practice Address: | 201 Front St Suite 104 Berea, OH - 440171998 |
Business Phone Number: | 4402607670 |
Business Fax Number: | 4402607671 |
Mailing Address: | 3705 State Rd, Suite 102 ASHTABULA |
State: | OH |
Postal Code: | 440045957 |
Phone Number: | 4409970014 |
Fax Number: | 4409987032 |
NPI Enumeration Date: | 03/03/2016 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT016201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |