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Individual
SUNSHINE FACHET
Active
Individual
SUNSHINE FACHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00558000
NJ
225X00000X
Occupational Therapist
Primary
OC012191
PA
Other
Enumeration date
09/08/2011
Last updated
05/03/2019
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