Tonya Farrell, PT | |
5800 Old Providence Rd, Charlotte, NC 28226-6872 | |
(704) 661-0902 | |
Not Available |
Full Name | Tonya Farrell |
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Gender | Female |
Speciality | Physical Therapist |
Location | 5800 Old Providence Rd, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033507462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
Mailing Address | Practice Location Address |
---|---|
Tonya Farrell, PT 9215 Woodriver Ln, Charlotte, NC 28277-2772 Ph: (704) 661-0902 | Tonya Farrell, PT 5800 Old Providence Rd, Charlotte, NC 28226-6872 Ph: (704) 661-0902 |
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