Individual
DR. BRIAN ANTHONY FAELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
129 SCHOOL ST, PAWTUCKET, RI 02860-5305
(401) 726-7100
(401) 722-9386
Mailing address
129 SCHOOL ST, PAWTUCKET, RI 02860-5305
(401) 726-7100
(401) 722-9386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02120
RI
Other
Enumeration date
10/10/2007
Last updated
01/10/2008
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