Individual
MICHAEL ANDREW FADOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
107 BROAD ST, SAINT CLAIRSVILLE, OH 43950-1604
(740) 630-6251
Mailing address
107 BROAD ST, SAINT CLAIRSVILLE, OH 43950-1604
(740) 630-6251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2059
WV
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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