NPI 1205443942

Chad Fazenbaker

Practitioner Physical Therapy Assistant Romney, WV

Practice location

Address: 260 Sunrise Blvd, Romney, WV 26757-6345
Phone: (304) 822-7527
Mailing address: 170 W Mechanic St, Frostburg, MD 21532-1541

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA002565 (WV)

Other Physical Therapy Assistant providers in West Virginia →

Registry record

NPI: 1205443942
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2020
Record last updated: 27 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.