Individual
ANGELO WILLIAM FATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-7530
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17900
CA
225X00000X
Occupational Therapist
Primary
OT60865394
WA
Other
Enumeration date
05/16/2019
Last updated
10/15/2021
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