Individual
JOSHUA S. FANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
25250 75TH ST, SALEM, WI 53168-8705
(262) 843-4200
(262) 843-4578
Mailing address
3048 MOMENTUM PL, CHICAGO, IL 60689-5330
(262) 657-0222
(262) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12730-24
WI
Other
Enumeration date
06/02/2014
Last updated
12/05/2015
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