Lacey R Fairbrother, PT, DPT

NPI #1538442769 in Choctaw, Oklahoma

Provider Information

NPI Number: 1538442769
Entity Type: Individual
Name: Lacey R Fairbrother, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Sep 23, 2011
Last Updated: Jul 6, 2015

Practice Location

Address: 14890 SE 29TH ST
City: Choctaw
State: Oklahoma
ZIP Code: 73020-3515
Phone: (405) 390-1731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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