Individual
STEPHANIE FUNGSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Mailing address
60 KATHERINE RD APT 2, WATERTOWN, MA 02472-4730
(216) 849-6750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13130
MA
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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