Organization
FAIRFAX FAMILY PHYSICAL THERAPY P.C.
Active
Organization
FAIRFAX FAMILY PHYSICAL THERAPY P.C.
Active
Other names
Fairfax Family Physical Therapy P.C. DME
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL R JENNESS P.T. (PRESIDENT)
(802) 849-9308
Entity
Organization
Contact information
Practice address
1282 MAIN ST, FAIRFAX, VT 05454-9534
(802) 849-9308
(802) 849-9752
Mailing address
1282 MAIN ST, FAIRFAX, VT 05454-9534
(802) 849-9308
(802) 849-9752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
06/04/2013
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