Individual
EMILY FAWAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3137 EAGLE DR, FORT COLLINS, CO 80526-2815
(301) 646-7016
Mailing address
3137 EAGLE DR, FORT COLLINS, CO 80526-2815
(301) 646-7016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5613
CO
Other
Enumeration date
02/12/2020
Last updated
12/31/2022
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