Mallory Fahnestock, DPT
NPI #1265856173 in Perryville, Missouri
Provider Information
- NPI Number
- 1265856173
- Entity Type
- Individual
- Name
- Mallory Fahnestock, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- DPT
- Enumeration Date
- Feb 12, 2014
- Last Updated
- Feb 12, 2014
Practice Location
- Address
- 1506 W SAINT JOSEPH ST
- City
- Perryville
- State
- Missouri
- ZIP Code
- 63775-1504
- Phone
- (573) 517-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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