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Organization
FAIRLEY PHYSICAL THERAPY, INC
Active
Organization
FAIRLEY PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LAURENCE FAIRLEY DPT (PRESIDENT)
(909) 621-0447
Entity
Organization
Contact information
Practice address
224 N INDIAN HILL BLVD, CLAREMONT, CA 91711-4609
(909) 621-0447
(909) 621-2747
Mailing address
224 N INDIAN HILL BLVD, CLAREMONT, CA 91711-4609
(909) 621-0447
(909) 621-2747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25533
CA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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