Provider Demographics
NPI:1629787205
Name:FARMER, ANDREA DIANE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:DIANE
Last Name:FARMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:DIANE
Other - Last Name:MONDAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3224 NW 142ND AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-4026
Mailing Address - Country:US
Mailing Address - Phone:352-262-2451
Mailing Address - Fax:
Practice Address - Street 1:3224 NW 142ND AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-4026
Practice Address - Country:US
Practice Address - Phone:352-262-2451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist