Individual
MR. JOHN FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1045 N TUSTIN ST, ORANGE, CA 92867-5904
(714) 288-8303
(714) 744-8153
Mailing address
1432 E LINCOLN AVE, ORANGE, CA 92865-1915
(714) 921-2690
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8214
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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