Individual
ANJELICA FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(724) 987-0398
Mailing address
601 ELMWOOD AVE BOX 664-OT, ROCHESTER, NY 14642-0002
(724) 987-0398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022383
NY
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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