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

MRS. ALYSSA B FAIRBANKS, PTA

Active

MRS. ALYSSA B FAIRBANKS, PTA is a Occupational Therapist healthcare provider located in FORT WAYNE, Indiana. NPI 1508523697 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FORT WAYNE, IN

Registration Details

NPI Number
1508523697
Provider Type
Individual
Gender
Female
NPI Issued
Nov 23, 2021 (4.7040913136898 yrs)
Last Updated
Dec 7, 2021
License
06005941A (IN)

Practice Information

Address
3110 MALLARD COVE LN
FORT WAYNE, IN, 468042882
Browse IN providers · Browse ZIP 46804
Phone
2604318198
Fax
2607550475
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FORT WAYNE, IN

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STEPHANIE EBERHART 1073623948
APRIL A ROSENOGLE PTA 1972604601
AMANDA S MELCHER PTA 1902907637
JENNIFER M HOWELL PTA 1770684417
JEFFREY LAMBERT PTA 1548304546
MARGARET ECKRICH PTA 1477698025
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.