Individual
MRS. REBECCA JOANNE FAIRFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
8125 N 23RD AVE, SUITE 221, PHOENIX, AZ 85021
(602) 443-0111
Mailing address
15021 N MAPLE DRIVE, FOUNTAIN HILLS, AZ 85268
(480) 686-8801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1331
AZ
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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