Individual
MRS. JENNIFER MARIE FABRE FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. PH.D. CSCS
Contact information
Practice address
1901 HIGHWAY 190 STE 26, MANDEVILLE, LA 70448-3495
(985) 778-2282
(866) 767-8329
Mailing address
1901 HIGHWAY 190 STE 26, MANDEVILLE, LA 70448-3495
(985) 778-2282
(866) 767-8329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04964
LA
225100000X
Physical Therapist
4135
NM
Other
Enumeration date
06/13/2005
Last updated
09/14/2022
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