Individual
MS. KAREN FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
4519 SEQUOIA DR APT C230, HARRISBURG, PA 17109-6408
(717) 525-8625
(717) 525-8625
Mailing address
4519 SEQUOIA DR APT C230, HARRISBURG, PA 17109-6408
(717) 525-8625
(717) 525-8625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001374L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021
CAREFIRST NATIONAL CAP.#
DC
Enumeration date
10/04/2005
Last updated
08/09/2011
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