Provider Demographics
NPI:1588007280
Name:FABRE, CHRISTI ANN (CHRISTI FABRE)
Entity Type:Individual
Prefix:MS
First Name:CHRISTI
Middle Name:ANN
Last Name:FABRE
Suffix:
Gender:F
Credentials:CHRISTI FABRE
Other - Prefix:MS
Other - First Name:CHRISTI
Other - Middle Name:ANN
Other - Last Name:FABRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CHRISTI FABRE
Mailing Address - Street 1:630 WILLOWDALE BLVD.
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070
Mailing Address - Country:US
Mailing Address - Phone:985-210-7839
Mailing Address - Fax:
Practice Address - Street 1:2708 NE 14TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-3565
Practice Address - Country:US
Practice Address - Phone:888-880-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist