Individual
KERI L FUOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
704 S ILLINOIS ST, GENESEO, IL 61254-1782
(309) 353-0439
Mailing address
704 S ILLINOIS ST, GENESEO, IL 61254-1782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056010153
IL
225X00000X
Occupational Therapist
Primary
073405
IA
Other
Enumeration date
09/30/2013
Last updated
09/07/2021
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