Individual
CHRISTIAN HOPE FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
11 LEATHER OAK TRL, CLAYTON, NC 27520-3655
(661) 496-6290
(661) 496-6290
Mailing address
11 LEATHER OAK TRL, CLAYTON, NC 27520-3655
(661) 496-6290
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3853
AZ
Other
Enumeration date
05/30/2007
Last updated
11/07/2017
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