Jennifer A Fairbank, PT

NPI #1659489391 in West Melbourne, Florida

Provider Information

NPI Number: 1659489391
Entity Type: Individual
Name: Jennifer A Fairbank, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 25, 2006
Last Updated: Aug 9, 2018

Practice Location

Address: 4270 MINTON RD
City: West Melbourne
State: Florida
ZIP Code: 32904
Phone: (321) 984-2933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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