Individual
AMANDA KELLY FABRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
620 ESSEX ST, HARRISON, NJ 07029-2134
(973) 483-6159
Mailing address
190 GRUMMAN AVE, NEWARK, NJ 07112-1748
(862) 279-3330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02309600
NJ
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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