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Individual

MICHAEL FANTUZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2879 W HARDIES RD, GIBSONIA, PA 15044-8203
(724) 444-6090
(724) 444-6092
Mailing address
2879 W HARDIES RD, GIBSONIA, PA 15044-8203
(724) 444-6090
(724) 444-6092

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC011853
PA

Other

Enumeration date
05/23/2011
Last updated
05/23/2011
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