Individual
ELIZABETH S FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10452 HIGHWAY 5, SUITE D, BRENT, AL 35034-3923
(205) 316-9207
(205) 316-9208
Mailing address
10452 HIGHWAY 5, SUITE D, BRENT, AL 35034-3923
(205) 316-9207
(205) 316-9208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA425
AL
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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