Individual provider · Type 1 NPI
Linda Kay Fairchild, OTR/L
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Buffalo, MN
Practice location
1696 7th St NW
Buffalo, MN 55313-5050
Fax (763) 274-1071
Mailing address
1696 7th Str. NW
Buffalo, MN 55313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 100400 (MN) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 810345-1-WS (MN) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
About NPI 1720010382
Linda Kay Fairchild, OTR/L's National Provider Identifier is 1720010382, issued on Jul 6, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Buffalo, MN. The record was last updated on Dec 28, 2017.