Individual
EMILY MARIE FASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
25 CONRAN DR, COOPERSVILLE, MI 49404-1300
(616) 997-6172
(616) 965-2475
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501020147
MI
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/07/2017
Last updated
02/20/2023
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