Individual
KEVIN FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25370 EASTERN MARKETPLACE PLZ STE 120, CHANTILLY, VA 20152-5778
(910) 213-3575
Mailing address
25370 EASTERN MARKETPLACE PLZ STE 120, CHANTILLY, VA 20152-5778
(910) 213-3575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211190
VA
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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