Individual
LESLIE ANN FAIRBAIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
121 DOUGHTY LANE, POST OFFICE BOX 88, SATSUMA, FL 32189-0088
(386) 467-3504
Mailing address
PO BOX 88, 121 DOUGHTY LANE, SATSUMA, FL 32189-0088
(386) 467-3504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14092
FL
Other
Enumeration date
03/26/2010
Last updated
10/12/2010
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