Individual
CHRISTOPHER WAYNE FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
221 N HOGAN ST, SUITE 259, JACKSONVILLE, FL 32202-4201
(904) 357-0060
Mailing address
221 N HOGAN ST, SUITE 259, JACKSONVILLE, FL 32202-4201
(904) 357-0060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21735
FL
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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