Keven Fazio, PTA

NPI #1861875973 in Lyndhurst, Ohio

Provider Information

NPI Number: 1861875973
Entity Type: Individual
Name: Keven Fazio, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 7, 2015
Last Updated: Jan 9, 2016

Practice Location

Address: 1575 BRAINARD RD
City: Lyndhurst
State: Ohio
ZIP Code: 44124-3096
Phone: (440) 460-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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