Individual
SHARON FUCELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
101 W 87TH AVE, MERRILLVILLE, IN 46410-6177
(219) 756-0744
Mailing address
101 W 87TH AVE, MERRILLVILLE, IN 46410-6177
(219) 756-0744
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
32001987A
IN
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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