Joanna Faught

NPI #1922380260 in Mattoon, Illinois

Provider Information

NPI Number: 1922380260
Entity Type: Individual
Name: Joanna Faught
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 24 CARROLLTON EST
City: Mattoon
State: Illinois
ZIP Code: 61938-9598
Phone: (217) 259-7353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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