| NPI | 1598219156 |
|---|---|
| Former Name | DEANNA FAHRMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26385) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2024-06-06 |