Individual
BRENDA VALETTA FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
19 MORRIS LN, WELLSBORO, PA 16901-1933
(570) 724-6373
Mailing address
19 MORRIS LN, WELLSBORO, PA 16901-1933
(570) 724-6373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005640L
PA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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