Individual
MISS CORRINE ASHLEY FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4450 W EAU GALLIE BLVD STE 180, MELBOURNE, FL 32934-7277
(321) 255-6627
Mailing address
4450 W EAU GALLIE BLVD STE 180, MELBOURNE, FL 32934-7277
(321) 255-6627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19143
FL
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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