Katie Fanning
NPI #1700246584 in Springville, New York
Provider Information
- NPI Number
- 1700246584
- Entity Type
- Individual
- Name
- Katie Fanning
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Mar 7, 2016
- Last Updated
- Mar 7, 2016
Practice Location
- Address
- 393 NORTH ST
- City
- Springville
- State
- New York
- ZIP Code
- 14141-9652
- Phone
- (716) 592-9331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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