IndividualActive
Linda Fairchild, OTR/L
NPI 1720010382 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Buffalo, MN
Provider details
- NPI number
- 1720010382
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 100400 (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 810345-1-WS (MN)
Residential Treatment Facilities
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1696 7th St Nw
Buffalo, MN 55313-5050
Phone: (763) 274-1070
Fax: (763) 274-1071
Approximate (ZIP-level) locationGet directions
Mailing address
1696 7th Str. Nw
Buffalo, MN 55313
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2017-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.