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Individual

KRISTEN MARIE FAUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
490 HIGHWAY 96 W STE 300, SHOREVIEW, MN 55126-1961
(651) 451-3016
Mailing address
490 HIGHWAY 96 W STE 300, SHOREVIEW, MN 55126-1961
(301) 665-1451
(651) 481-7040

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
MN
225XP0200X
Pediatric Occupational Therapist
Primary
106608
MN

Other

Enumeration date
07/19/2021
Last updated
01/25/2022
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