Individual
MS. MARY J FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2609
(716) 338-0668
(866) 694-4979
Mailing address
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2609
(716) 338-0668
(866) 694-4979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005140-1
NY
Other
Enumeration date
09/07/2010
Last updated
01/10/2014
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