Individual
MRS. JACQUELINE FASULO PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
208 COLLYER ST, PULMONARY REHAB, PROVIDENCE, RI 02904-1560
(401) 793-4080
(401) 793-4110
Mailing address
171 BROAD ST, NORTH ATTLEBORO, MA 02760-1103
(508) 643-4603
Taxonomy
Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
00754
RI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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