MARYELLEN FAIRCLOTH

NEWTON, IA
NPI1831220730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  01991)
Enumeration Date2007-03-09
Last Update Date2010-06-17
Business Address
-- MARYELLEN FAIRCLOTH PT
204 N 4TH AVE E
NEWTON, IA 50208-3135
Phone number: 641-792-1273
Mailing Address
-- MARYELLEN FAIRCLOTH PT
204 N 4TH AVE E
NEWTON, IA 50208-3135
Phone number: 641-792-1273
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