Individual
ELIZABETH FAIRBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 WITTINGTON PL, SUITE 175, DALLAS, TX 75234-1927
(866) 221-5405
(866) 534-5697
Mailing address
1755 WITTINGTON PL, SUITE 175, DALLAS, TX 75234-1927
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291301
CA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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