Individual
DOUGLAS TYLER FABRIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
40 ZABRISKIE ST APT 3J, HACKENSACK, NJ 07601-4944
(201) 394-2379
Mailing address
40 ZABRISKIE ST APT 3J, HACKENSACK, NJ 07601-4944
(201) 394-2379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022974
NY
225X00000X
Occupational Therapist
46TR00852000
NJ
Other
Enumeration date
03/02/2020
Last updated
08/03/2020
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