Bosede Ruth Fasan, PTA

Physical Therapy Assistant · Franklin, IN

Individual Active NPI

NPI number 1285339705

Practice location

1070 W Jefferson St
Franklin, IN 46131-2179
Phone
(973) 953-5584

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NPI record

NPI
1285339705
Entity type
Individual (Type 1)
Enumeration date
April 3, 2023
Last updated
April 3, 2023
Certified
April 3, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 06004399A IN

Mailing address

1331 Glen Canyon Dr
Greenwood, IN 46143-5583
Phone
(973) 953-5584

About Bosede Fasan

Bosede Ruth Fasan, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1070 W Jefferson St, Franklin, IN 46131-2179. The NPI number 1285339705 was assigned on April 3, 2023 and the record was last updated on April 3, 2023.

Bosede Fasan lists a license in the registry: #06004399A (IN) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bosede Ruth Fasan, PTA?

The NPI number is 1285339705.

What is the phone number of Bosede Fasan?

The phone number listed for the practice location is (973) 953-5584.

Where is Bosede Fasan located?

1070 W Jefferson St, Franklin, IN 46131-2179.

What is the taxonomy code for Bosede Fasan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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