Individual
HAILEY A FACENDOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1703 MIDDLESEX ST, LOWELL, MA 01851-1130
(978) 710-7204
Mailing address
71 PORTER TER, LOWELL, MA 01852-2724
(781) 258-2339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24439
MA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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