Individual
MICHAEL P FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
162 MOUNTAIN RD, SUFFIELD, CT 06078-2091
(860) 668-9589
(860) 668-9802
Mailing address
1707 NW SAINT LUCIE WEST BLVD STE 188, PORT SAINT LUCIE, FL 34986-2521
(772) 878-3322
(772) 878-5030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003155
CT
225100000X
Physical Therapist
Primary
PT33481
FL
Other
Enumeration date
07/18/2006
Last updated
02/19/2020
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