Debbie Lee Fastenow PTA

NPI 1639376213 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1639376213
Gender Female
Enumeration Date 06/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
201 NE PARK PLAZA DR STE 246
VANCOUVER WA, 98684-5874, US
Phone (360) 696-1070
Fax (360) 737-0200
Business Location
50136 SE WEBER RD
SANDY OR, 97055-7420, US
Phone (503) 668-9239
Fax
Toxanomy
Taxonomy Code 225200000X
License State Oregon
License Number 7662
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According to our database, Debbie Lee Fastenow PTA NPI is 1639376213, taxonomy code is 225200000X and license number is 7662, license state is located at Oregon. Debbie Lee Fastenow PTA physically located at 201 Ne Park Plaza Dr Ste 246, Vancouver WA, 98684-5874. NPI Number Debbie Lee Fastenow PTA has the Individual type.

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1639376213 NPI number is provided on an as is basis without warranty of any kind. 1639376213 is maintained by the National Plan & Provider Enumeration System. The contents of Debbie Lee Fastenow PTA are for informational purposes only.