Individual
CHRISTOPHER ROBERT FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, RD
Contact information
Practice address
24 DENIM PL, N WHITE PLAINS, NY 10603-1717
(914) 439-1392
Mailing address
24 DENIM PL, N WHITE PLAINS, NY 10603-1717
(914) 439-1392
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019532-1
NY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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