Doctor Name: | MICHELE FARRELLY |
NPI Number: | 1548331788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 005799 |
Business Practice Address: | 1931 Black Rock Tpke Fairfield, CT - 068253506 |
Business Phone Number: | 2033848681 |
Business Fax Number: | 2033840722 |
Mailing Address: | 5605 Main St, TRUMBULL |
State: | CT |
Postal Code: | 066113031 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 005799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |