Organization Name: | FAIRFAX FAMILY PHYSICAL THERAPY P.C. |
NPI Number: | 1477706257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRYSTAL R JENNESS (PRESIDENT) |
Mailing Address: | 1282 Main St Fairfax |
State: | VT US |
Postal Code: | 054549534 |
Phone Number: | 8028499308 |
Fax Number: | 8028499752 |
NPI Enumeration Date: | 10/24/2008 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |