Individual
JULIE ANN FAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
143 SHUBIN WAY, VACAVILLE, CA 95687-7622
(916) 838-8235
Mailing address
143 SHUBIN WAY, VACAVILLE, CA 95687-7622
(916) 838-8235
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
24965
CA
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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