Individual
JOHN THOMAS FUSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
5500 NW 69TH AVE APT 115, LAUDERHILL, FL 33319-7267
(954) 440-2696
(954) 533-4841
Mailing address
11360 NW 41ST ST, SUNRISE, FL 33323-1126
(954) 440-2696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14192
FL
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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