Mike Fornecker
NPI #1154091601 in Rockingham, Virginia
Provider Information
- NPI Number
- 1154091601
- Entity Type
- Individual
- Name
- Mike Fornecker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Sep 16, 2021
- Last Updated
- Sep 16, 2021
Practice Location
- Address
- 3935 SUNNYSIDE DR
- City
- Rockingham
- State
- Virginia
- ZIP Code
- 22801-2328
- Phone
- (540) 568-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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