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Mallory Fahnestock, DPT
NPI 1265856173 · on the registry since 2014
Practice
- Address
- 1506 W Saint Joseph St
Perryville, MO 63775 - Phone
- (573) 517-7900
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-02-12
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 Missouri