Individual
SAMMANTHA CRYSTA FABISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4045 E BELL RD STE 150, PHOENIX, AZ 85032-2239
(602) 992-8352
Mailing address
2134 E BROADWAY RD UNIT 2019, TEMPE, AZ 85282-1778
(618) 409-1779
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014535
AZ
225200000X
Physical Therapy Assistant
CP033296A
MO
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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