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Individual

ISAIAH FAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2695 NORTHPARK DR STE 102, LAFAYETTE, CO 80026-3177
(303) 926-1796
Mailing address
2900 CORMORANT PL, LONGMONT, CO 80503-9264

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0017141
CO

Other

Enumeration date
07/23/2020
Last updated
07/23/2020
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