Maria Fairbert, P.T. AIDE

NPI #1043304744 in Ladysmith, Wisconsin

Provider Information

NPI Number: 1043304744
Entity Type: Individual
Name: Maria Fairbert, P.T. AIDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: P.T. AIDE
Enumeration Date: Oct 3, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 900 COLLEGE AVE. WEST
City: Ladysmith
State: Wisconsin
ZIP Code: 54848
Phone: (715) 532-5561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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