MR. Elee Marcel Fairhart, P.T.

NPI #1326044629 in Morton, Washington

Provider Information

NPI Number: 1326044629
Entity Type: Individual
Name: MR. Elee Marcel Fairhart, P.T.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 22, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 148 DIVISION STREET
City: Morton
State: Washington
ZIP Code: 98356
Phone: (360) 496-5335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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