# MRS. FAIRLEY ANN LENNOR GARIANDO KUA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740510114
- **Gender:** F
- **Credential:** RPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070017557 | IL | Yes |

## Other

- **Enumeration date:** 01/07/2010
- **Last updated:** 01/07/2010