Individual
JOANNE FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 NW 6TH ST, GAINESVILLE, FL 32601-4020
(352) 373-4411
Mailing address
4420 NE JACKSONVILLE RD, OCALA, FL 34479-2424
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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