Individual provider · Type 1 NPI

Charles Joseph Fairbanks

Physical Therapy Assistant · Suffolk, VA

NPI number 1184287898 Active

Practice location

5818 Harbour View Blvd
Suffolk, VA 23435-3315

Call (757) 638-1800 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306604072 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1184287898

Charles Joseph Fairbanks's National Provider Identifier is 1184287898, issued on Apr 18, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Suffolk, VA. The record was last updated on Apr 18, 2019.