CHARLES JOSEPH FAIRBANKS

SUFFOLK, VA
NPI1184287898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306604072)
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
CHARLES JOSEPH FAIRBANKS
5818 HARBOUR VIEW BLVD
SUFFOLK, VA 23435-3315
Phone number: 757-638-1800
Mailing Address
CHARLES JOSEPH FAIRBANKS
5818 HARBOUR VIEW BLVD
SUFFOLK, VA 23435-3315
Phone number: 804-638-1800
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