Individual
MS. DANA M FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, PT
Contact information
Practice address
2 POND PARK RD, SUITE 102, HINGHAM, MA 02043-4347
(781) 337-5555
(781) 335-6047
Mailing address
2 POND PARK RD, SUITE 102, HINGHAM, MA 02043-4347
(781) 337-5555
(781) 335-6047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15029
MA
363A00000X
Physician Assistant
Primary
AP2410
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99510
FALLON
MA
Enumeration date
03/14/2006
Last updated
04/16/2014
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