Individual
DR. RAYMOND FACCIOLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1800 CONCORD PIKE, WILMINGTON, DE 19897-0001
(302) 593-7760
Mailing address
7 QUINCE CT, WILMINGTON, DE 19808-4333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
DE
2251E1200X
Ergonomics Physical Therapist
—
DE
2251G0304X
Geriatric Physical Therapist
—
DE
2251X0800X
Orthopedic Physical Therapist
—
DE
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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