CHAD FAZENBAKER

ROMNEY, WV
NPI1205443942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA002565)
Enumeration Date2020-09-27
Last Update Date2020-09-27
Business Address
CHAD FAZENBAKER
260 SUNRISE BLVD
ROMNEY, WV 26757-6345
Phone number: 304-822-7527
Mailing Address
CHAD FAZENBAKER
170 W MECHANIC ST
FROSTBURG, MD 21532-1541
Phone number: 301-697-1572
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