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Individual
MRS. JESSICA FATSIS
Active
Individual
MRS. JESSICA FATSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
022846
NY
363A00000X
Physician Assistant
Primary
031660
NY
Other
Enumeration date
12/30/2019
Last updated
03/21/2024
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