Individual provider · Type 1 NPI

Shad Fossen

Rehabilitation Practitioner · Long Beach, CA

NPI number 1992823264 Active

Practice location

456 Elm Ave
Long Beach, CA 90802-2426

Call (562) 437-6717 Map

Fax (562) 590-6012

Mailing address

508 Agua Pl
Seal Beach, CA 90740-6216

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: 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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About NPI 1992823264

Shad Fossen's National Provider Identifier is 1992823264, issued on Mar 26, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Long Beach, CA. The record was last updated on May 24, 2013.