Individual
KATHLEEN JENNIFER FAUCONIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1111 GRINNELL RD, WILMINGTON, DE 19803-5125
(302) 478-7615
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J1-0001040
DE
225100000X
Physical Therapist
Primary
PT009309L
PA
Other
Enumeration date
03/15/2007
Last updated
07/29/2025
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