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NPI Code Detail

MEDICARE: CHEYENNE FAUVEL-DECROMBECQUE

MEDICARE: CHEYENNE FAUVEL-DECROMBECQUE
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 Therapist26279MA

General Provider Information

NPI Number : 1225816382
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEYENNE FAUVEL-DECROMBECQUE
Provider Business Mailing Address
First Line : 369 MASSACHUSETTS AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02474-6737
Country : US
Telephone Number : 781-777-1782
Fax Number :
Provider Business Practice Location Address
First Line : 369 MASSACHUSETTS AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02474-6737
Country : US
Telephone Number : 781-777-1782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2023
Last Update Date : 09/20/2023

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Directions to “ CHEYENNE FAUVEL-DECROMBECQUE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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