| Doctor Name: | JULIE FAIRMAN |
| NPI Number: | 1740264126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, CWT |
| License Number: | |
| Business Practice Address: | 1176 Mansfield Ave Indiana, PA - 157014514 |
| Business Phone Number: | 7243579991 |
| Business Fax Number: | 7243579993 |
| Mailing Address: | 911 Ligonier St, Suite 001 LATROBE |
| State: | PA |
| Postal Code: | 156501805 |
| Phone Number: | 7245379577 |
| Fax Number: | 7245370195 |
| NPI Enumeration Date: | 11/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |