Individual
MRS. PHYLLIS ANN FENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
10990 RIDGE KNOLL DR, EVANSVILLE, IN 47710-5058
(812) 867-7521
Mailing address
10990 RIDGE KNOLL DR, EVANSVILLE, IN 47710-5058
(812) 867-7521
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05001000A
IN
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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