Tamara Fattaleh, DPT, ATC | |
25 Braintree Hill Office Park, Ste L02, Braintree, MA 02184-8702 | |
(781) 848-7300 | |
(781) 848-5678 |
Full Name | Tamara Fattaleh |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 25 Braintree Hill Office Park, Braintree, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548717739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22537 (Massachusetts) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 2692 (Massachusetts) | Secondary |
Provider Name | Kennedy Brothers Pt |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982756854 PECOS PAC ID: 9537118187 Enrollment ID: O20050120000783 |
Mailing Address | Practice Location Address |
---|---|
Tamara Fattaleh, DPT, ATC 25 Braintree Hill Office Park, Ste L02, Braintree, MA 02184-8702 Ph: (781) 848-7300 | Tamara Fattaleh, DPT, ATC 25 Braintree Hill Office Park, Ste L02, Braintree, MA 02184-8702 Ph: (781) 848-7300 |
Nicole Janine Dubou, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1102 Washington St, Braintree, MA 02184 Phone: 781-848-3100 | |
Kathleen Terry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1102 Washington St, Braintree, MA 02184 Phone: 413-265-3971 | |
Lisa Jean Sandberg, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Forbes Rd, Braintree, MA 02184 Phone: 781-356-7400 | |
Ms. Stephanie Bono, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 95 Commericial Street, Braintree, MA 02184 Phone: 781-848-3678 | |
Richard P Kennedy, PTSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Braintree Hill Office Park, Braintree, MA 02184 Phone: 781-848-7300 Fax: 781-848-5678 | |
Mrs. Joy Elaine Waugh Ingraham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Hancock St, Suite 14, Braintree, MA 02184 Phone: 781-380-4831 | |
Danielle Pacini, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 John Mahar Hwy Ste 301, Braintree, MA 02184 Phone: 781-384-0500 Fax: 781-848-0501 |