Individual
KELLY FASIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
155 HERITAGE WOODS DR, COPLEY, OH 44321-1398
(330) 666-0980
Mailing address
3247 SEVEN BRIDGES RD, MEDINA, OH 44256-6233
(330) 754-7754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 012418
OH
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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