Individual
MARIELLE FUSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 536-8000
Mailing address
1972 JUNCTION RD, STRASBURG, VA 22657-4103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
N/A
—
Enumeration date
10/09/2018
Last updated
10/09/2018
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