Individual
STEPHANIE MARIE FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1010 EAST ST, TONGANOXIE, KS 66086-9557
(913) 369-8705
Mailing address
2310 PHEASANT PL, EUDORA, KS 66025-8153
(913) 486-6404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02164
KS
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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