Doctor Name: | HEATHER FECHNER |
NPI Number: | 1023475993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 43578 |
Business Practice Address: | 1000 S Fremont Ave Unit 27 Alhambra, CA - 918038800 |
Business Phone Number: | 6262897472 |
Business Fax Number: | |
Mailing Address: | 1000 S Fremont Ave, Unit 27 ALHAMBRA |
State: | CA |
Postal Code: | 918038800 |
Phone Number: | 6262897472 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2016 |
NPI Last Update Date: | 01/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 43578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |