Individual provider · Type 1 NPI

Alyssa B. Fairbanks, PTA

Physical Therapy Assistant · Fort Wayne, IN

NPI number 1508523697 Active

Practice location

3110 Mallard Cove Ln
Fort Wayne, IN 46804-2882

Call (260) 431-8198 Map

Fax (260) 755-0475

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06005941A (IN)

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 1508523697

Alyssa B. Fairbanks, PTA's National Provider Identifier is 1508523697, issued on Nov 23, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 7, 2021.