Individual
CHRISTOPHER THOMAS FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
(507) 353-3023
Mailing address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
(507) 353-3023
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44426
MN
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/06/2019
Last updated
03/10/2021
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