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NPI Code Detail

MEDICARE: CLAUDIA FAHEY PT, DPT

MEDICARE:   CLAUDIA  FAHEY  PT, 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
1225100000XPhysical TherapistCP042248TSC
2225100000XPhysical Therapist40QA01743400NJ

General Provider Information

NPI Number : 1871011643
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA FAHEY PT, DPT
Provider Business Mailing Address
First Line : 1559 SAM RITTENBERG BLVD STE A
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-4248
Country : US
Telephone Number : 973-493-7529
Fax Number : 973-493-7529
Provider Business Practice Location Address
First Line : 1559 SAM RITTENBERG BLVD STE A
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-4248
Country : US
Telephone Number : 973-493-7529
Fax Number : 973-493-7529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2017
Last Update Date : 03/16/2026

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Directions to “ CLAUDIA FAHEY PT, DPT” Practice Location

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