Fairy Therapetuic Pllc
Specialty details in registry · Gainesville, VA
At a glance
6884 Piedmont Center Plz, Gainesville, VA 20155-4035
NPPES record updated Jun 10, 2026. Public records can lag behind changes at a practice.
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Practice location
6884 Piedmont Center PlzGainesville, VA 20155-4035
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 171400000X
- Enumeration date
- Jun 10, 2026
- Record updated
- Jun 10, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
101YM0800X
163WM1400X
171000000X
171400000X · Primary
173C00000X
225700000X
225X00000X
261QM0850X
261QM0855X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
6884 Piedmont Center PlzGainesville, VA 20155-4035
- Phone
- (571) 284-7612
Mailing address
PO BOX 31BEALETON, VA 227120031
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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