Individual
DANIELLE DELILAH FAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5539 HWY 47, CHASE CITY, VA 23924-3727
(434) 372-8885
Mailing address
521 SMOKY CROSSING WAY, SEYMOUR, TN 37865-5091
(865) 680-5574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306603003
VA
225200000X
Physical Therapy Assistant
Primary
4706
TN
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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