Individual
SARA MAE FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 MOORESVILLE HWY, LEWISBURG, TN 37091-1413
(931) 359-4506
Mailing address
1653 MOORESVILLE HWY, LEWISBURG, TN 37091-1413
(931) 359-4506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000000750
TN
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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