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Individual
LINDSAY R FADER
Active
Individual
LINDSAY R FADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42657
CA
2251G0304X
Geriatric Physical Therapist
PT42657
CA
2251X0800X
Orthopedic Physical Therapist
PT42657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT42657
APTA
CA
Enumeration date
01/15/2020
Last updated
01/15/2020
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