Jessica Dyann Fambrough, PTA

NPI #1578074530 in Wylie, Texas

Provider Information

NPI Number: 1578074530
Entity Type: Individual
Name: Jessica Dyann Fambrough, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 18, 2017
Last Updated: Oct 18, 2017

Practice Location

Address: 611 W BROWN ST STE 101
City: Wylie
State: Texas
ZIP Code: 75098-5816
Phone: (972) 442-5287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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