Maryellen Faircloth, PT

NPI #1831220730 in Newton, Iowa

Provider Information

NPI Number: 1831220730
Entity Type: Individual
Name: Maryellen Faircloth, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 9, 2007
Last Updated: Jun 17, 2010

Practice Location

Address: 204 N 4TH AVE E
City: Newton
State: Iowa
ZIP Code: 50208-3135
Phone: (641) 792-1273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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