TIAHNA FAIRBANKS, BA

Developmental Therapist

Active Individual
NPI: 1407217987

Practice Address

2420 AMERICAN LEGION BLVD
Mountain Home, ID 83647

Phone: (208) 890-6420

Specialties

Specialty Code Primary License
Developmental Therapist 222Q00000X Yes -

Frequently Asked Questions

NPI 1407217987 is the National Provider Identifier for TIAHNA FAIRBANKS, BA, a Developmental Therapist provider located in Mountain Home, ID. This NPI was enumerated on March 11, 2016.
TIAHNA FAIRBANKS, BA practices at 2420 AMERICAN LEGION BLVD, Mountain Home, ID 83647.

Quick Facts

NPI
1407217987
Type
Individual
Enumerated
Mar 11, 2016
Last Updated
Mar 11, 2016

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