Individual
MRS. DESPINA FAZZUOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
133 W MAIN ST, SPENCER, MA 01562-2691
(774) 449-8058
(774) 449-8092
Mailing address
133 W MAIN ST, SPENCER, MA 01562-2691
(774) 449-8058
(777) 449-8092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13273
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0319465
—
MA
01
—
469445
TUFTS
MA
01
—
57296
FALLON
MA
01
—
Y67697
BLUE SHIELD
MA
Enumeration date
02/03/2006
Last updated
11/17/2025
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