Charles Joseph Fairbanks
Charles Joseph Fairbanks is a Physical Therapy Assistant in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2019.
- Licensed in
- VA
- In the registry since
- 2019
Practice location Address checks out
5818 Harbour View BlvdSuffolk, VA 23435-3315
Phone: (757) 638-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2306604072 (VA) |
|---|
Record details
| NPI number | 1184287898 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 18, 2019 |
| Last updated in NPPES | April 18, 2019 |
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Timothy Holden, LPTA
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Mrs. Lauren Ann Hollingsworth, LPTA
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