Faith Ellen Fortuno
Rehabilitation Practitioner in Fullerton, CA. Individual provider (NPI-1).
NPI number1265733992
StatusActive
Last updated in NPPESMay 3, 2017
Details
- NPI
- 1265733992
- Entity type
- Individual (NPI-1)
- Name
- Miss Faith Ellen Fortuno
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2010
- Last updated
- May 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
801 East Chapman # 203Fullerton, CA 92831-3839
Phone 714-680-9000 · Fax 714-680-8233
Mailing address
801 E Chapman Ave Ste 203Fullerton, CA 92831-3846
Phone 714-680-9000 · Fax 714-680-9000
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All 120 Rehabilitation Practitioner providers in Fullerton · All 6,385 providers in Fullerton
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