Individual
FARID FEGHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4892
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-4892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18716
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18716
PT LICENSE
MA
Enumeration date
08/26/2009
Last updated
06/26/2019
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