Doctor Name: | REBECCA MICHELLE FAIRLEY |
NPI Number: | 1548361793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MPT, CSCS |
License Number: | PT29660 |
Business Practice Address: | 224 N Indian Hill Blvd Claremont, CA - 917114609 |
Business Phone Number: | 9096210477 |
Business Fax Number: | |
Mailing Address: | 4232 Lynd Ave, ARCADIA |
State: | CA |
Postal Code: | 910065834 |
Phone Number: | 6268215434 |
Fax Number: | 6268215434 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT29660 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |