Querida Fanelli Masters PTA

NPI 1073635066 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1073635066
Gender Female
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
130 COLRAIN RD
GREENFIELD MA, 01301-9625, US
Phone (413) 774-3724
Fax
Business Location
8 BOLTON RD
ROYALSTON MA, 01368-8954, US
Phone (978) 249-2281
Fax
Toxanomy
Taxonomy Code 225200000X
License State Massachusetts
License Number 2111
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According to our database, Ms. Querida Fanelli Masters PTA NPI is 1073635066, taxonomy code is 225200000X and license number is 2111, license state is located at Massachusetts. Querida Fanelli Masters PTA physically located at 130 Colrain Rd, Greenfield MA, 01301-9625. NPI Number Querida Fanelli Masters PTA has the Individual type.

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1073635066 NPI number is provided on an as is basis without warranty of any kind. 1073635066 is maintained by the National Plan & Provider Enumeration System. The contents of Querida Fanelli Masters PTA are for informational purposes only.