DEREK FAIRROW

MADISONVILLE, KY
NPI1760727929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A02649)
Enumeration Date2012-11-29
Last Update Date2012-11-29
Business Address
-- DEREK FAIRROW PTA
1500 PRIDE AVE
MADISONVILLE, KY 42431-9157
Phone number: 270-821-1813
Mailing Address
-- DEREK FAIRROW PTA
1500 PRIDE AVE
MADISONVILLE, KY 42431-9157
Phone number: 270-821-1813
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