Individual
JENNIE FABIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4100 JACKSON AVE, AUSTIN, TX 78731-6056
(512) 454-4711
Mailing address
349 VISTA PORTOLA LOOP, LIBERTY HILL, TX 78642-0258
(508) 728-6470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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