Provider Demographics
NPI:1003472630
Name:FARR, NORMAJEAN (PT)
Entity Type:Individual
Prefix:
First Name:NORMAJEAN
Middle Name:
Last Name:FARR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:NORMAJEAN
Other - Middle Name:
Other - Last Name:DRISCOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2221 E NORTHERN LIGHTS BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-677-5605
Mailing Address - Fax:
Practice Address - Street 1:2221 E NORTHERN LIGHTS BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-677-5605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-1866225100000X
AK162922225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist