NPI 1063627297
Brian M Faghan, PTA
Practice location
- Address
- 110 Long Pond Rd Suite 111, Plymouth, MA 02360-2642
- Phone
- (508) 746-6922
- Fax
- (508) 746-7211
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1063627297
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.