Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 4109 | MA |
NPI | 1023142460 |
---|---|
Provider Name | Linda-Marie Fiola |
First Address | Fall River, MA 02720-1520 |
Second Address | Fall River, MA 02720-2080 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |