Individual
MRS. LYNSEY ZOE FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
700 HELEN ST, CLYDE, OH 43410-2051
(419) 547-4280
Mailing address
11101 W GENZMAN RD, OAK HARBOR, OH 43449-9275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6085
OH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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