-- TIAHNA E FAIRBANKS -- BA
Individual Provider (NPI-1)
Active
Developmental Therapist
Provider Information
- NPI Number
1407217987- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BA
- Status
- Active
Contact & Location
- Address
- 2420 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836473146
- Phone
- (208) 890-6420
Specialties & Taxonomies
Developmental Therapist
Primary