Zene Fawn Fenton OTR/L

NPI 1336150515 - Occupational Therapist - 225XH1200X

NPI Details
NPI 1336150515
Gender Female
Enumeration Date 08/11/2006
Last Updated 10/03/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
2305 MENDOCINO AVE STE B
SANTA ROSA CA, 95403-3157, US
Phone (707) 544-2637
Fax (707) 544-2088
Business Location
2360 MENDOCINO AVE
A2 #173
SANTA ROSA CA, 95403-3153, US
Phone (707) 544-2637
Fax (707) 544-2088
Toxanomy
Taxonomy Code 225XH1200X
License State California
License Number OT2583
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According to our database, Mrs. Zene Fawn Fenton OTR/L NPI is 1336150515, taxonomy code is 225XH1200X and license number is OT2583, license state is located at California. Zene Fawn Fenton OTR/L physically located at 2305 Mendocino Ave Ste B, Santa Rosa CA, 95403-3157. NPI Number Zene Fawn Fenton OTR/L has the Individual type.

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1336150515 NPI number is provided on an as is basis without warranty of any kind. 1336150515 is maintained by the National Plan & Provider Enumeration System. The contents of Zene Fawn Fenton OTR/L are for informational purposes only.