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NPI Code Detail

MEDICARE: SYDNEY FALLON SUNNERBERG DPT

MEDICARE: SYDNEY FALLON SUNNERBERG DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist26400MA

General Provider Information

NPI Number : 1073231296
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY FALLON SUNNERBERG DPT
Provider Business Mailing Address
First Line : 280 LIONS MOUTH RD
Second Line :
City : AMESBURY
State : MA
Zip : 01913-5318
Country : US
Telephone Number : 978-270-9748
Fax Number :
Provider Business Practice Location Address
First Line : 145 WARD HILL AVE
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-6928
Country : US
Telephone Number : 978-372-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2022
Last Update Date : 08/15/2022

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