TARA FASANELLO

FAIRFAX, VA
NPI1346638079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131000874)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- TARA FASANELLO COTA/L
12628 FAIR CREST CT
FAIRFAX, VA 22033-3888
Phone number: 724-664-4521
Mailing Address
-- TARA FASANELLO COTA/L
12628 FAIR CREST CT
FAIRFAX, VA 22033-3888
Phone number:
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