NPI 1265697361

Evangeline Brennan-Koliscz

Practitioner Early Intervention Provider Agency Fall River, MA

Practice location

Address: 1563 N Main St Suite 208, Fall River, MA 02720-2983
Phone: (508) 324-1060
Fax: (508) 679-8590
Mailing address: 100 Centre St, Rumford, RI 02916-3144

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1265697361
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2008
Record last updated: 28 Jul 2008

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.