Individual
ANNA FADUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3900 GARFIELD AVE # CA, CARMICHAEL, CA 95608-6647
(916) 481-6455
Mailing address
3900 GARFIELD AVE # CA, CARMICHAEL, CA 95608-6647
(916) 481-6455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10667
CA
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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