Individual
KELLY FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
1171 MARTIN AVE, FOND DU LAC, WI 54935-6375
(920) 979-6764
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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