Individual
TONI FAHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 PROVIDENT DR, WARSAW, IN 46580-3252
(574) 371-2500
Mailing address
603 E CENTER ST, WARSAW, IN 46580-3321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
32002154A
IN
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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