Individual
AIMEE FAIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
755 S PLUM ST, MARYSVILLE, OH 43040-1631
(937) 644-8836
Mailing address
1285 TENAGRA WAY, COLUMBUS, OH 43228-9185
(614) 851-8780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08574
LICENSE #
OH
Enumeration date
08/25/2006
Last updated
07/16/2007
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