Individual
KEVEN FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1575 BRAINARD RD, LYNDHURST, OH 44124-3096
(440) 460-1000
Mailing address
1575 BRAINARD RD, LYNDHURST, OH 44124-3096
(440) 460-1000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5960
OH
Other
Enumeration date
07/07/2015
Last updated
01/09/2016
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