Individual
MICHELE CHRISTINE FESENMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
455 BLACK OAK COVE RD, CANDLER, NC 28715-8141
(860) 933-0596
Mailing address
455 BLACK OAK COVE RD, CANDLER, NC 28715-8141
(860) 933-0596
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6573
SC
225X00000X
Occupational Therapist
902
CT
Other
Enumeration date
12/01/2017
Last updated
11/02/2022
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