Individual
MS. BRIANNA FASULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
601 HATCHELL LN, DENHAM SPRINGS, LA 70726-3015
(225) 380-1894
(225) 380-1896
Mailing address
601 HATCHELL LN, DENHAM SPRINGS, LA 70726-3015
(225) 380-1894
(225) 380-1896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10894
LA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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