Individual
CHARLES ANDREW FENSTERMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1515 E 4160 S, SALT LAKE CITY, UT 84124-1532
(801) 930-9397
Mailing address
1515 E 4160 S, SALT LAKE CITY, UT 84124-1532
(801) 930-9397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7928478-2401
UT
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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