Individual
ANDREA FALCONI VERNUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5223
Mailing address
1118 COUNTRY CLUB RD, WILMINGTON, NC 28403-2517
(323) 401-7175
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
515547
OR
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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