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Deanna Kay Fathauer, PTA

Physical Therapy Assistant in Indianapolis, IN. Individual provider (NPI-1).

NPI number1184809261
StatusActive
Last updated in NPPESJan 8, 2008

Details

NPI
1184809261
Entity type
Individual (NPI-1)
Name
Deanna Kay Fathauer
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 8, 2008
Last updated
Jan 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant06002605AINYes

Practice location

5949 W Raymond St
Indianapolis, IN 46241-4348

Phone 317-390-5575 · Fax 317-486-2189

Mailing address

5949 W Raymond St
Indianapolis, IN 46241-4348

Phone 317-390-5575 · Fax 317-486-2189

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