Doctor Name: | MR. CHARLES JOSEPH FEHRENBACH |
NPI Number: | 1538154273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., A.T., C. |
License Number: | PT16850 |
Business Practice Address: | 26034 Acero Bldg K Mission Viejo, CA - 92691 |
Business Phone Number: | 9498379074 |
Business Fax Number: | |
Mailing Address: | 65 Berlamo, RANCHO SANTA MARGARITA |
State: | CA |
Postal Code: | 926882656 |
Phone Number: | 9495862537 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2005 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT16850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |