Individual
JENIFER ANN FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 HALSTEAD AVE, NORFOLK, VA 23502-2003
(757) 857-0481
Mailing address
1401 HALSTEAD AVE, NORFOLK, VA 23502-2003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001092
VA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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