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Individual

TIMOTHY JAMES FAILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
90 LINDALL ST, DANVERS, MA 01923-2125
(978) 296-3773
Mailing address
1371 NORWICH RD, PLAINFIELD, CT 06374-1930
(401) 212-0814

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4290
MA

Other

Enumeration date
12/30/2017
Last updated
01/24/2024
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