MEDICARE: SAVANNAH FABIEN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305210182	VA

General Provider Information

NPI Number	:	1780031500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH FABIEN DPT

Provider Business Mailing Address
First Line	:	1772 PERLA DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1680
Country	:	US
Telephone Number	:	757-748-4424
Fax Number	:

Provider Business Practice Location Address
First Line	:	1772 PERLA DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1680
Country	:	US
Telephone Number	:	757-748-4424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2016
Last Update Date	:	04/26/2026

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