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1235381500
ELISSA MARIE FANNING
WHITE PLAINS, NY
NPI
1235381500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY PT018891-1)
Enumeration Date
2008-10-18
Last Update Date
2008-10-18
Business Address
Mrs. ELISSA MARIE FANNING PT
24 DENIM PL
WHITE PLAINS, NY 10603-1717
Phone number: 914-309-6525
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Mailing Address
Mrs. ELISSA MARIE FANNING PT
24 DENIM PL
WHITE PLAINS, NY 10603-1717
Phone number: 914-309-6525
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