Individual
LESLIE D FADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
789 MAIN ST STE 4, GREAT BARRINGTON PHYSICAL THERAPY, INC., GT BARRINGTON, MA 01230-2217
(413) 528-0929
(413) 528-6123
Mailing address
789 MAIN ST STE 4, GREAT BARRINGTON PHYSICAL THERAPY, INC., GT BARRINGTON, MA 01230-2217
(413) 528-0929
(413) 528-6123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8549
MA
Other
Enumeration date
01/04/2006
Last updated
10/17/2012
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