Maranda Jo Fambrough, DPT
Individual provider Active NPI Physical Therapist · Hollidaysburg, PA
NPI 1124505680 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1124505680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT026895 (PA)
- Practice address
- 721 N Juniata St
Hollidaysburg, PA 16648-1455 - Phone
- (814) 317-5507
- Fax
- (814) 317-5522
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT026895 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Affiliated Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT026895 | PA | Yes |
Addresses
Primary practice location
721 N Juniata St
Hollidaysburg, PA 16648-1455
Mailing address
721 N Juniata St
Hollidaysburg, PA 16648-1455
Phone (814) 317-5507
Other providers in Hollidaysburg, PA
- David A. Eardley
- Alyssa Ann Eckenrode
- Cynthia Kay Eckenrode
- Katelyn M Evans
- Kelly Fama
- Erica Farabaugh
- Fink Anesthesia
- Michele Theresa Fiore
- Christopher Andrew Fischer
- Gretchen Nicole Flaugh
All providers in Hollidaysburg, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.