Individual
PAMELA FASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 E NEWPORT CENTER DR, SUITE PH-J, DEERFIELD BEACH, FL 33442-7715
(954) 379-1066
Mailing address
1191 E NEWPORT CENTER DR, SUITE PH-J, DEERFIELD BEACH, FL 33442-7715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21194
FL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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