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1578242939
CHAD FAIRBANKS
MONCLOVA, OH
NPI
1578242939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 09553)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
CHAD FAIRBANKS PTA
5069 OTTERBEIN WAY
MONCLOVA, OH 43542-8500
Phone number: 419-878-0550
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Mailing Address
CHAD FAIRBANKS PTA
1802 WHISPERING WAY
PERRYSBURG, OH 43551-6909
Phone number:
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