Individual
CHANDELLE DOREEN FETNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E FRONT ST, DE KALB, TX 75559-1464
(903) 667-7000
Mailing address
303 N CENTER ST, NEW BOSTON, TX 75570-2918
(903) 628-7700
(903) 628-7701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2162087
TX
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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