Individual
DYLAN FALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
190 FENN RD, NEWINGTON, CT 06111-2244
(860) 665-1177
Mailing address
PO BOX 42, BRISTOL, CT 06011-0042
(860) 973-4995
(860) 973-4996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14.011964
CT
Other
Enumeration date
08/08/2018
Last updated
10/07/2020
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