MEDICARE: BEVERLY FARR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 29703	FL

General Provider Information

NPI Number	:	1396147609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY FARR

Provider Business Mailing Address
First Line	:	1201 PIPER BLVD STE 18
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 PIPER BLVD STE 18
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1385
Country	:	US
Telephone Number	:	239-593-3010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2014
Last Update Date	:	09/17/2014

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Directions to “ BEVERLY FARR ” Practice Location

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