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Individual

LINDA KAY FAIRCHILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1696 7TH ST NW, BUFFALO, MN 55313-5050
(763) 274-1070
(763) 274-1071
Mailing address
1696 7TH STR. NW, BUFFALO, MN 55313
(763) 682-1223
(763) 682-1668

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
100400
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
810345-1-WS
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172360800
MN
01
218986-4-AFC
ADULT FOSTER CARE
MN
01
810345-1-WS
HOME AND COMMUNITY BASED
MN
Enumeration date
07/06/2006
Last updated
12/28/2017
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