Bette Jo Fairclough P.T.

NPI 1043485311 - Physical Therapist - 225100000X

NPI Details
NPI 1043485311
Gender Female
Enumeration Date 04/28/2008
Last Updated 04/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
633 VETERANS BLVD
REDWOOD CITY CA, 94063-1408, US
Phone (650) 363-5658
Fax
Business Location
3151 MELENDY DR
SAN CARLOS CA, 94070-3508, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 5181
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According to our database, Bette Jo Fairclough P.T. NPI is 1043485311, taxonomy code is 225100000X and license number is 5181, license state is located at California. Bette Jo Fairclough P.T. physically located at 633 Veterans Blvd, Redwood City CA, 94063-1408. NPI Number Bette Jo Fairclough P.T. has the Individual type.

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1043485311 NPI number is provided on an as is basis without warranty of any kind. 1043485311 is maintained by the National Plan & Provider Enumeration System. The contents of Bette Jo Fairclough P.T. are for informational purposes only.