Mrs. Alyssa B Fairbanks, PTA
Mrs. Alyssa B Fairbanks, PTA is a Physical Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2021.
- Licensed in
- IN
- In the registry since
- 2021
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
3110 Mallard Cove LnFort Wayne, IN 46804-2882
Phone: (260) 431-8198
Fax: (260) 755-0475
Show map & directions
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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 06005941A (IN) |
|---|
Record details
| NPI number | 1508523697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | November 23, 2021 |
| Last updated in NPPES | December 7, 2021 |
| Certification date | December 7, 2021 |
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Margaret Eckrich, PTA
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Joya Frelin
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