Individual
MS. QUERIDA FANELLI MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
130 COLRAIN RD, GREENFIELD, MA 01301-9625
(413) 774-3724
Mailing address
8 BOLTON RD, ROYALSTON, MA 01368-8954
(978) 249-2281
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2111
MA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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