Provider Demographics
NPI:1922542711
Name:FALLIER, MICHELLE EILEEN (PT, DPPT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:EILEEN
Last Name:FALLIER
Suffix:
Gender:F
Credentials:PT, DPPT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:332 PINE ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-3214
Mailing Address - Country:US
Mailing Address - Phone:415-732-5608
Mailing Address - Fax:415-732-0345
Practice Address - Street 1:2030 ADDISON ST STE 101
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1140
Practice Address - Country:US
Practice Address - Phone:510-644-8031
Practice Address - Fax:510-644-8036
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist