Individual
KIERSTIN FAFULOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
115 S LUDLOW ST, DAYTON, OH 45402-1812
(937) 542-3000
(937) 542-3202
Mailing address
2936 GREEN VISTA DR, BEAVERCREEK, OH 45431-8743
(937) 474-8041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009369
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/31/2019
Last updated
01/06/2026
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