Individual
MR. JOSEPH A FUCCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7277 NC HIGHWAY 42, SUITE 208, RALEIGH, NC 27603-7527
(919) 773-4086
(919) 773-4087
Mailing address
7277 NC HIGHWAY 42, SUITE 208, RALEIGH, NC 27603-7527
(919) 773-4086
(919) 773-4087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212332
—
NC
Enumeration date
06/02/2006
Last updated
01/25/2013
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