Individual
RAYMOND JOHN FABIAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 THOMPSON AVE W, WEST ST PAUL, MN 55118-3100
(651) 259-2701
Mailing address
10230 REDWOOD ST NW, COON RAPIDS, MN 55433-5153
(763) 227-1982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A745
MN
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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