Individual
MRS. REBECCA DIANE FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2025 HAYES AVE, SANDUSKY, OH 44870-4739
(419) 627-2273
Mailing address
1208 WICKFORD PL, HURON, OH 44839-1467
(419) 602-7153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3097
OH
Other
Enumeration date
02/16/2022
Last updated
02/18/2022
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