Fairbank, Jennifer A

Fairbank, Jennifer A is an individual health care provider with primary practice located at 4270 Minton Rd , West Melbourne FL 32904. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fairbank, Jennifer A can be contacted via phone (321) 984-2933.

Contact Information

Primary practice address
4270 Minton Rd West Melbourne FL 32904
Phone: (321) 984-2933
Fax: (321) 953-5379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1659489391
LBN Legal business name Fairbank, Jennifer A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659489391 NPPES
Florida Other PT14435 PT LICENSE

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