Provider Demographics
NPI:1275833444
Name:DYER-FARRELL, LINKA
Entity Type:Individual
Prefix:
First Name:LINKA
Middle Name:
Last Name:DYER-FARRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 BREEZY MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-5023
Mailing Address - Country:US
Mailing Address - Phone:407-927-5289
Mailing Address - Fax:
Practice Address - Street 1:1108 OHIO RIVER BLVD
Practice Address - Street 2:SUITE 803
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-2049
Practice Address - Country:US
Practice Address - Phone:412-324-1025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11120224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant