Individual
BREANA LYNN FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 WASHINGTON AVE UNIT B, GOLDEN, CO 80403-1889
(720) 307-7707
Mailing address
393 WASHINGTON AVE UNIT B, GOLDEN, CO 80403-1889
(720) 307-7707
(720) 307-7702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0020104
CO
Other
Enumeration date
08/09/2024
Last updated
09/10/2024
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