Zene Fawn Fenton in Santa Rosa - Hand

Zene Fawn Fenton - NPI 1336150515

Zene Fawn Fenton is a Hand in Santa Rosa, California. Zene Fawn Fenton practices all healthcare services and medical treatments related to Hand. The NPI Number for Zene Fawn Fenton is 1336150515. The last update date is 2007-10-03.

Zene Fawn Fenton's current location address is 2360 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075442637 and fax number 7075442088. The mailing address for Zene Fawn Fenton is 2360 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Zene Fawn Fenton
Address 2360 Mendocino Ave, Santa Rosa, California
Phone Number 7075442637
Fax Number 7075442088
Sole Proprietor N
Credentials OTR/L

NPI Number Detail

NPI Number 1336150515
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-10-03

Provider Mailing Address Detail

Address 2360 Mendocino Ave
City Santa Rosa
State California (CA)
Post Code 954033153
Phone Number 7075442637
Fax Number 7075442088

Provider's Primary Taxonomy Detail

Speciality Hand
Taxonomy 225Xh1200X
Licence No OT2583
Definition:
An occupational therapist who specializes in treating hand, wrist and forearm injuries or impairments to help regain function and dexterity.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OT-0025830 CA BLUE SHIELD

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FAQs about Zene Fawn Fenton

What is the unique provider identifier assigned to Zene Fawn Fenton?

The Zene Fawn Fenton has been issued the NPI (National Provider Identifier) 1336150515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Zene Fawn Fenton located?

The Zene Fawn Fenton is located at 2360 Mendocino Ave, Santa Rosa, CA 954033153.

What is Zene Fawn Fenton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Zene Fawn Fenton is Hand, and the taxonomy code that classifies this field of practice is 225Xh1200X.

When was the Zene Fawn Fenton's 1336150515 issued?

The Zene Fawn Fenton's 1336150515 was issued on 2006-08-11.

As of what date was the information regarding Zene Fawn Fenton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Zene Fawn Fenton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-03.

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