SearchOhio225100000X

Jacob Fanning, DPT

NPI 1992045025 · on the registry since 2013 · sole proprietor

Practice

Address
2476 Powell Ave
Columbus, OH 43209
Phone
(419) 573-9701

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio