Cheyenne Fackler

NPI #1871058206 in Summerfield, Florida

Provider Information

NPI Number
1871058206
Entity Type
Individual
Name
Cheyenne Fackler
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Feb 11, 2019
Last Updated
Feb 11, 2019

Practice Location

Address
10969 SE 175TH PL
State
Florida
ZIP Code
34491-0902
Phone
(352) 347-8877

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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