Individual
JILL K FAHNHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14663 MERCANTILE DR N, HUGO, MN 55038-4559
(651) 466-1950
Mailing address
14762 HOMESTEAD AVE N, HUGO, MN 55038-9408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1449
MN
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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