Individual
BRENDAN CHARLES FANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32030 23RD AVE S, FEDERAL WAY, WA 98003-6031
(253) 946-4852
(253) 946-4862
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(253) 946-4862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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