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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA FAIRBANKS, COTA/L

Active Sole Proprietor

THERESA FAIRBANKS, COTA/L is a Occupational Therapy Assistant healthcare provider located in ORANGE PARK, Florida. NPI 1427398684 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ORANGE PARK, FL

Registration Details

NPI Number
1427398684
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2013 (13.422296959399 yrs)
Last Updated
Feb 26, 2013
License
OTA9801 (FL)
Sole Proprietor
Yes

Practice Information

Address
1215 KINSLEY AVE.
ORANGE PARK, FL, 32073
Browse FL providers · Browse ZIP 32073
Phone
1904269892
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in ORANGE PARK, FL

Name Credential NPI
MS. KARI DEMARIS EICENS COTA 1841330461
PAUL M. LASALA C.O.T.A 1609116326
MARY POWERS COTA/L 1235559329
ELIZABETH SLUSKI COTA/L 1932529963
ALVIN BRITT 1821409525
MIRANDA MILLS OTA 1205232436
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.