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)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