Individual
DR. DESHAWN JAMAL FAIRBAIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4237 RIVER HILLS DR STE 120, LITTLE RIVER, SC 29566-6444
(843) 249-5616
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11985
SC
Other
Enumeration date
08/09/2023
Last updated
06/04/2024
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