Provider Demographics
NPI:1386463347
Name:FESSLER, CAROLINE GABRIELLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:GABRIELLE
Last Name:FESSLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4112 TRASK AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-3140
Mailing Address - Country:US
Mailing Address - Phone:814-969-3587
Mailing Address - Fax:
Practice Address - Street 1:4112 TRASK AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-3140
Practice Address - Country:US
Practice Address - Phone:814-969-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist