Individual
JOANNA MARIE FRUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
511 ENCINITAS BLVD STE 100, ENCINITAS, CA 92024-3778
(760) 436-7344
Mailing address
41024 SUNSPRITE ST, LAKE ELSINORE, CA 92532-1556
(951) 345-2900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
757618
CA
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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