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Individual

CHRISTINE DANIELLE FATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
100 N UNIVERSITY DR, FORT WORTH, TX 76107-1360
(817) 814-2000
Mailing address
3017 PONDER PATH, KELLER, TX 76248-1201
(817) 891-2273

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119915
TX

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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