Provider Demographics
NPI:1720058167
Name:FALCIGNO, ANTHONY (PT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:FALCIGNO
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:181 PATRICIA GENOVA DRIVE
Mailing Address - Street 2:EASTERN REHABILTITATION NETWORK 5TH FLOOR
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111
Mailing Address - Country:US
Mailing Address - Phone:860-667-5449
Mailing Address - Fax:860-667-8416
Practice Address - Street 1:252 NORTH MAIN STREET
Practice Address - Street 2:EASTERN REHABILTITATION NETWORK 5TH FLOOR
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040
Practice Address - Country:US
Practice Address - Phone:860-643-3562
Practice Address - Fax:860-643-3565
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT006855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist