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NPI Code Detail

MEDICARE: ALICIA FISET PT, DPT

MEDICARE: ALICIA FISET PT, 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 Therapist

General Provider Information

NPI Number : 1689198541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA FISET PT, DPT
Provider Business Mailing Address
First Line : 6 HASKELL ST
Second Line :
City : SHIRLEY
State : MA
Zip : 01464-2409
Country : US
Telephone Number : 978-877-6995
Fax Number :
Provider Business Practice Location Address
First Line : 146 MACARTHUR BLVD
Second Line :
City : BUZZARDS BAY
State : MA
Zip : 02532-3902
Country : US
Telephone Number : 508-759-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2017
Last Update Date : 08/01/2017

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Directions to “ ALICIA FISET PT, DPT” Practice Location

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