NPI 1518283639

Wanda Lee Fazenbaker, PTA

Practitioner Physical Therapy Assistant Towson, MD

Practice location

Address: 7700 York Rd, Towson, MD 21204-7513
Phone: (410) 821-5500

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1272 (MD)

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Registry record

NPI: 1518283639
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2010
Record last updated: 14 Apr 2010

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.