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Individual
BRIAN FALLER
Active
Individual
BRIAN FALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
014436
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT.014436
LICENSE
OH
Enumeration date
12/03/2013
Last updated
12/03/2013
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