ALYSSA B FAIRBANKS

FORT WAYNE, IN
NPI1508523697
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06005941A)
Enumeration Date2021-11-23
Last Update Date2021-12-07
Business Address
Mrs. ALYSSA B FAIRBANKS PTA
3110 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-431-8198
Mailing Address
Mrs. ALYSSA B FAIRBANKS PTA
3110 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-431-8198
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