Female

Maria Fairbert P.T. AIDE

Physical Therapy Assistant in Ladysmith, WI(View on Map)

Full Name

Maria Fairbert P.T. AIDE

NPI Number

1043304744

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/03/2006

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

1008

Contact
Information

Purpose

Mailing
Location

Address

W5810 HAPPY ACRES ROAD
900 COLLEGE AVE. WEST

City

Tony
Ladysmith

State

WI
WI

Postal Code

54563
54848

Country

US
US

Telephone Number

(715) 532-6669
(715) 532-5561

Identifiers

Identifier

40436100

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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