Individual
KELLY ANN FACTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6 BAYBERRY CT, NANTUCKET, MA 02554-4039
(508) 825-8191
(508) 825-8198
Mailing address
PO BOX 7619, SIASCONSET, MA 02564-7619
(508) 642-0003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01215
RI
225100000X
Physical Therapist
Primary
11004
MA
225100000X
Physical Therapist
4343
NH
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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