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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DECLAN E FENNELL, PT

Active

MR. DECLAN E FENNELL, PT is a Physical Therapy Assistant healthcare provider located in BRAINTREE, Massachusetts. NPI 1366481608 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BRAINTREE, MA

Registration Details

NPI Number
1366481608
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2006 (20.161907847996 yrs)
Last Updated
Mar 7, 2023
License
13347 (MA)

Practice Information

Address
16 SYCAMORE RD
BRAINTREE, MA, 021847308
Browse MA providers · Browse ZIP 02184
Phone
6173338389
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BRAINTREE, MA

Name Credential NPI
DAVID BALLY PT 1306835574
KATHRYN ANNE FOLEY FERRARI PT 1538140868
MR. NEIL LACANDULA PT 1851333413
MICHAEL E VACON P.T. 1295740868
MS. LALLA SARGENT MCHUGH PT 1417012626
LINDA WOLF KING PT 1841348273
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.