Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA FAIRBAIRN, PT
ActiveJESSICA FAIRBAIRN, PT is a Physical Therapy Assistant healthcare provider located in SAN TAN VLY, Arizona. NPI 1083190581 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SAN TAN VLY, AZ
Registration Details
- NPI Number
- 1083190581
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2018 (8.0899615338341 yrs)
- Last Updated
- Jul 17, 2018
- License
-
LPT-30100 (AZ)
Practice Information
- Address
-
1745 W HUNT HWY # B103SAN TAN VLY, AZ, 851435215Browse AZ providers · Browse ZIP 85143
- Phone
- 4805684580
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.