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Individual
MISTY M FAIRCHILD
Active
Individual
MISTY M FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005390202
—
TX
05
—
005390203
—
TX
05
—
005390204
—
TX
05
—
1063594927
—
TX
05
—
1427112218
—
TX
Enumeration date
12/19/2006
Last updated
10/20/2025
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