Individual provider · NPI-1

Sharon Fucela, Occupational Therapy

Occupational Therapy Assistant, Environmental Modification · Merrillville, IN

NPI number1568019776
StatusActive
Last updated in NPPESAug 22, 2019

Details

NPI
1568019776
Entity type
Individual (NPI-1)
Name
Sharon Fucela
Credential
Occupational Therapy
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2019
Last updated
Aug 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224ZE0001X Occupational Therapy Assistant, Environmental Modification32001987AINYes

Practice location

101 W 87th Ave
Merrillville, IN 46410-6177

Phone 219-756-0744

Mailing address

101 W 87th Ave
Merrillville, IN 46410-6177

Phone 219-756-0744

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