Thomas Fiese

NPI #1720267438 in Mattapan, Massachusetts

Provider Information

NPI Number: 1720267438
Entity Type: Individual
Name: Thomas Fiese
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 30, 2007
Last Updated: Oct 30, 2007

Practice Location

Address: 1659 BLUE HILL AVE
City: Mattapan
State: Massachusetts
ZIP Code: 02126-2107
Phone: (617) 296-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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