Individual
MRS. THERESA FAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000833
VA
Other
Enumeration date
09/26/2005
Last updated
06/01/2012
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