NPI | 1477706257 |
---|---|
Doing Business As | FAIRFAX FAMILY PHYSICAL THERAPY P.C. DME |
Entity Type | Organization |
Authorized Contact | KRYSTAL R JENNESS President 802-849-9308 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2008-10-24 |
Last Update Date | 2013-06-04 |