| NPI | 1811010077 |
|---|---|
| Doing Business As | FAIRFAX PHYSICAL THERAPY & FITNESS |
| Entity Type | Organization |
| Authorized Contact | KENNETH P. WEICK Physical Therapist 212-861-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 007325-1) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |