Individual
DIXIE ROST FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3531
Mailing address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005130
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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