MRS. Peggy Jean Farden, PTA

NPI #1063687945 in Peoria, Illinois

Provider Information

NPI Number: 1063687945
Entity Type: Individual
Name: MRS. Peggy Jean Farden, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 23, 2008
Last Updated: Apr 23, 2008

Practice Location

Address: 6501 N SHERIDAN RD
City: Peoria
State: Illinois
ZIP Code: 61614-2932
Phone: (309) 692-8110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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