Provider Demographics
NPI:1477050953
Name:FABRIZIANI, WENDY (LAT, ATC)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:FABRIZIANI
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 ROOSEVELT CT
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-4139
Mailing Address - Country:US
Mailing Address - Phone:443-910-5689
Mailing Address - Fax:
Practice Address - Street 1:200 THOMAS RUN RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-1617
Practice Address - Country:US
Practice Address - Phone:443-910-5689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer