Individual
NICOLETTE FATTORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 FORGE RD, GLEN MILLS, PA 19342-8817
(484) 354-0317
Mailing address
122 FORGE RD, GLEN MILLS, PA 19342-8817
(484) 354-0317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
PA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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