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Mr. Shad Fossen
Rehabilitation Practitioner in Long Beach, California
NPI 1992823264

Shad Fossen is a Rehabilitation Practitioner based in Seal Beach, CA. Shad Fossen practices in Long Beach, CA. The NPI Number for Shad Fossen is 1992823264 and holds a License No. (California).

The current practice location address for Shad Fossen is 456 Elm Ave, Long Beach, CA and can be reached out via phone at 562-437-6717 and via fax at 562-590-6012.

Location: 456 Elm Ave, Long Beach, CA, 90740-6216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992823264
Provider Name
Shad Fossen
Credential
Provider Entity Type
Individual
Gender
Male
Address
456 Elm Ave, Long Beach, CA, 90740-6216
Phone Number
562-437-6717
Fax Number
562-590-6012
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
456 Elm Ave
City
Long Beach
State
California
Zip
90802-2426
Phone Number
562-437-6717
Fax Number
562-590-6012
person
Provider Business Mailing Address Details
Address
456 Elm Ave
City
Long Beach
State
California
Zip
90802-2426
Phone Number
562-437-6717
Fax Number
562-590-6012
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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