Individual
KRISTA FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 BELLE OAKS DR STE 280, NORTH CHARLESTON, SC 29405-8504
(866) 571-2700
(866) 571-2124
Mailing address
10 ANN DR, SYOSSET, NY 11791-5904
(516) 647-6277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8328
SC
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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