Individual
MRS. GWEN S. FASSBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
67 E MIDTOWN PARK, MOBILE, AL 36606-4141
(251) 476-1279
(251) 476-2882
Mailing address
2755 BENNINGTON DR, MOBILE, AL 36695-2559
(251) 634-9658
(251) 476-2882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH416
AL
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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