Provider Demographics
NPI:1801354287
Name:FALCIANO, GABRIELLE (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:FALCIANO
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 N DAMEN AVE APT 2R
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-5164
Mailing Address - Country:US
Mailing Address - Phone:516-404-0144
Mailing Address - Fax:
Practice Address - Street 1:645 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2384
Practice Address - Country:US
Practice Address - Phone:781-924-6365
Practice Address - Fax:781-924-3454
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer