MISS Susan Rose Fairbairn, COTA

NPI #1487939575 in Margaretville, New York

Provider Information

NPI Number: 1487939575
Entity Type: Individual
Name: MISS Susan Rose Fairbairn, COTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: COTA
Enumeration Date: Oct 20, 2011
Last Updated: Oct 20, 2011

Practice Location

Address: 415 MAIN ST.
City: Margaretville
State: New York
ZIP Code: 12455-0319
Phone: (845) 586-2647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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