Individual
CHANTEL MICHELLE FUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
371 HALSBURY CIR, GAHANNA, OH 43230-1721
(614) 315-6169
Mailing address
371 HALSBURY CIR, GAHANNA, OH 43230-1721
(614) 315-6169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004612
OH
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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