CHAD FAZENBAKER
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1205443942- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 260 SUNRISE BLVD, ROMNEY, WV, 267576345
- Phone
- (304) 822-7527
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #PTA002565