Provider Demographics
NPI:1700188158
Name:FARR, WENDI LYN (RRT)
Entity Type:Individual
Prefix:MS
First Name:WENDI
Middle Name:LYN
Last Name:FARR
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9310 FLOWERING COTTONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5564
Mailing Address - Country:US
Mailing Address - Phone:864-680-9119
Mailing Address - Fax:
Practice Address - Street 1:33021 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3750
Practice Address - Country:US
Practice Address - Phone:352-360-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10672227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered