Austin Fairbanks

NPI #1487084018 in Rogers City, Michigan

Provider Information

NPI Number: 1487084018
Entity Type: Individual
Name: Austin Fairbanks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 18, 2013
Last Updated: Nov 18, 2013

Practice Location

Address: 268 N FIRST ST
City: Rogers City
State: Michigan
ZIP Code: 49779-1604
Phone: (989) 306-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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