Individual
MRS. JENNA FAWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
3220 SW ALBRIGHT DR, TOPEKA, KS 66614-4707
(785) 478-9500
Mailing address
3220 SW ALBRIGHT DR, TOPEKA, KS 66614-4707
(785) 478-9500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02370
KS
Other
Enumeration date
12/19/2012
Last updated
02/20/2015
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