Individual
JULIANA FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
951 N WASHINGTON AVE BLDG 4, TITUSVILLE, FL 32796-2194
(321) 268-6111
Mailing address
1828 S PARK AVE, TITUSVILLE, FL 32780-3330
(610) 809-7515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24375
FL
Other
Enumeration date
08/02/2023
Last updated
08/03/2023
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