Individual
CHANELLE L. FASBENDER-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
4505 LAS VIRGENES RD, SUITE 103-104, CALABASAS, CA 91302-1956
(818) 880-4758
(818) 880-4781
Mailing address
4505 LAS VIRGENES RD, SUITE 103-104, CALABASAS, CA 91302-1956
(818) 880-4758
(818) 880-4781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34748
CA
Other
Enumeration date
07/30/2008
Last updated
01/03/2014
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