Amanda Facciolo

NPI #1386310977 in Bridgeport, Connecticut

Provider Information

NPI Number: 1386310977
Entity Type: Individual
Name: Amanda Facciolo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 23, 2021
Last Updated: Aug 23, 2021

Practice Location

Address: 226 MILL HILL AVE
City: Bridgeport
State: Connecticut
ZIP Code: 06610-2826
Phone: (203) 336-7339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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