Individual
KELLY FABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2826
Mailing address
PO BOX 1008, WAUSAU, WI 54402-1008
(715) 847-2121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1345-019
WI
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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