Individual
JEFFREY FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
816 HARDING ST, LAFAYETTE, LA 70503-2320
(337) 232-3111
(337) 232-5400
Mailing address
816 HARDING ST, LAFAYETTE, LA 70503-2320
(337) 232-3111
(337) 232-5400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09337R
LA
2255A2300X
Athletic Trainer
ATH.200188
LA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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