Individual
MS. CARLA FANCIULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1192 SENECA DR, GUNNISON, CO 81230-8796
(970) 596-4781
Mailing address
1192 SENECA DR, GUNNISON, CO 81230-8796
(970) 596-4781
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2298
CO
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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