Michael J Fenno, PT

NPI #1396720876 in Oakland, California

Provider Information

NPI Number: 1396720876
Entity Type: Individual
Name: Michael J Fenno, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 7, 2005
Last Updated: Oct 1, 2007

Practice Location

Address: 400 29TH ST
Address 2: SUITE 502
City: Oakland
State: California
ZIP Code: 94609-3522
Phone: (415) 652-6570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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