Johnathan Richard Fahrner

NPI #1851789143 in Magnolia, Texas

Provider Information

NPI Number: 1851789143
Entity Type: Individual
Name: Johnathan Richard Fahrner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 8, 2015
Last Updated: Jan 8, 2015

Practice Location

Address: 6318 FM 1488 RD
Address 2: SUITE 150
City: Magnolia
State: Texas
ZIP Code: 77354-2763
Phone: (936) 273-0808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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