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Individual

NICOLE DENISE FABIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Mailing address
4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
(301) 864-2333

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07653
MD

Other

Enumeration date
02/17/2016
Last updated
11/21/2016
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