Individual
DR. PAUL FAHRENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
800 E 28TH ST, COURAGE KENNY, SUITE 2704, MINNEAPOLIS, MN 55407-3723
(612) 863-9976
Mailing address
800 E 28TH ST, COURAGE KENNY, SUITE 2704, MINNEAPOLIS, MN 55407-3723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9864
MN
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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