Individual
JOHN M FAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8 POST OFFICE SQ, ACTON, MA 01720-3948
(978) 881-0090
(978) 881-0091
Mailing address
463 WORCESTER RD, FRAMINGHAM, MA 01701-5356
(508) 872-5133
(508) 628-9788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11466
MA
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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