Individual
TAMMY JEAN FAUSSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
655 W 23RD ST, FREMONT, NE 68025-2595
(402) 753-6130
Mailing address
655 W 23RD ST, FREMONT, NE 68025-2595
(402) 753-6130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
772
NE
Other
Enumeration date
08/21/2008
Last updated
01/20/2012
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