Individual
JANICE DELORES FANSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
122 E FRANKLIN ST, GALLATIN, TN 37066-2828
(615) 452-9766
Mailing address
1076 LAKEWOOD DR, GALLATIN, TN 37066-8703
(615) 404-0685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000000094
TN
Other
Enumeration date
05/22/2010
Last updated
05/22/2010
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