Individual
VANESSA DEMELO REGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4263 N MAIN ST, FALL RIVER, MA 02720-1714
(774) 955-5830
Mailing address
128 SLADE ST, FALL RIVER, MA 02724-1350
(774) 526-5053
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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