Individual
MS. LINDA ROSE FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 WOODBURY AVE, PORTSMOUTH, NH 03801-3206
(603) 812-5300
(603) 501-0524
Mailing address
100 WOODBURY AVE, PORTSMOUTH, NH 03801-3206
(603) 812-5300
(603) 501-0524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1008
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13Y004093NH01
ANTHEM
NH
01
—
2958253
AETNA
NH
05
—
30411785
—
NH
01
—
550954
CIGNA
NH
01
—
626422
HARVARD PILGRIM
NH
Enumeration date
08/22/2006
Last updated
02/12/2008
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