Farris Therapy, Inc. | |
17 Business Park Dr Ste 13 Greenbrier AR 72058-9295 | |
(501) 339-5121 | |
Not Available |
Full Name | Farris Therapy, Inc. |
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Speciality | Clinic/Center |
Location | 17 Business Park Dr Ste 13, Greenbrier, Arkansas |
Authorized Official Name and Position | Lauren Ashley Farris (OWNER) |
Authorized Official Contact | 5013395121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Farris Therapy, Inc. 17 Business Park Dr Ste 13 Greenbrier AR 72058-9295 Ph: (501) 339-5121 | Farris Therapy, Inc. 17 Business Park Dr Ste 13 Greenbrier AR 72058-9295 Ph: (501) 339-5121 |
NPI Number | 1902388648 |
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Provider Enumeration Date | 08/29/2018 |
Last Update Date | 08/29/2018 |
Medicare PECOS PAC ID | 1951648419 |
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Medicare Enrollment ID | O20220218000733 |
Identifier | Type | State | Issuer |
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1902388648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 2543 (Arkansas) | Primary |
Provider Name | Dusty Linn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962909002 PECOS PAC ID: 5395009070 Enrollment ID: I20180504000530 |
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