Doctor Name: | MRS. ASHLEY DIANE FANNING |
NPI Number: | 1952745002 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 4211 |
Business Practice Address: | 1125 40th St Ste D Woodward, OK - 738011700 |
Business Phone Number: | 4052010204 |
Business Fax Number: | |
Mailing Address: | 2800 Oak Hollow Rd, WOODWARD |
State: | OK |
Postal Code: | 738017126 |
Phone Number: | 4052010204 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2013 |
NPI Last Update Date: | 04/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |