Individual
BRIAN FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 WOODSPOINT DR, FLORENCE, KY 41042-1543
(859) 371-5731
Mailing address
800 WINDRIDGE LN APT 3, FLORENCE, KY 41042-9428
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03792
KY
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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