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Individual

BRYAN FAMINIANO FALQUEZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7345 WOODLAND DR STE C, INDIANAPOLIS, IN 46278-1737
(317) 286-2885
(317) 536-3097
Mailing address
7345 WOODLAND DR STE C, INDIANAPOLIS, IN 46278-1737
(317) 286-2885
(317) 536-3097

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
038348
NY
225100000X
Physical Therapist
Primary
10370
CT

Other

Enumeration date
03/29/2018
Last updated
03/29/2018
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