Individual
PAIGE FAIRBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19915 NINA ST, OMAHA, NE 68130-6071
(402) 759-2008
Mailing address
19915 NINA ST, OMAHA, NE 68130-6071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
953
NE
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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