Individual
MRS. THERESE Y FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4818 ATTLEBORO ST, JACKSONVILLE, FL 32205-5043
(904) 483-6289
(904) 221-5650
Mailing address
4818 ATTLEBORO ST, JACKSONVILLE, FL 32205-5043
(904) 483-6289
(904) 221-5650
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT20156
FL
Other
Enumeration date
07/24/2007
Last updated
05/05/2010
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