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Alyssa Fairbanks, PTA
NPI 1508523697 · on the registry since 2021
Practice
- Address
- 3110 Mallard Cove Ln
Fort Wayne, IN 46804 - Phone
- (260) 431-8198
- Fax
- (260) 755-0475
- Organisation at this address
- Tippmann Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana