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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