Most Relevant Information
Provider Data
| NPI Number: | 1003398546 |
| Provider Name: | KELLY ANN FACTEAU PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 01215 |
Most Important Dates
| Enumeration Date: | 08/31/2018 |
| Last Updated: | 08/31/2018 |
Provider Practice Location
6 BAYBERRY CT
NANTUCKET
MA
025544039
Practice Location Phone/Fax
| Phone: | 5088258191 |
| Fax: | 5088258198 |
Provider Mailing Location
PO BOX 7619
SIASCONSET
MA
025647619
Provider Mailing Phone/Fax
| Phone: | 5086420003 |
| Fax: |