Individual
KEVIN M FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3945 E PARADISE FALLS DR, SUITE 109, TUCSON, AZ 85712-6683
(520) 321-0204
(520) 321-0495
Mailing address
PO BOX 43085, TUCSON, AZ 85733-3085
(520) 321-0204
(520) 321-0495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919863
—
AZ
Enumeration date
07/31/2006
Last updated
11/19/2009
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