MRS. Heather Fawn Fiacco, C.O.T.A

NPI #1568617009 in Lewiston, New York

Provider Information

NPI Number
1568617009
Entity Type
Individual
Name
MRS. Heather Fawn Fiacco, C.O.T.A
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
C.O.T.A
Enumeration Date
Nov 25, 2008
Last Updated
Nov 25, 2008

Practice Location

Address
5300 MILITARY RD
Address 2
MT. ST. MARY'S HOSPITAL ROOM 526
ZIP Code
14092-1903
Phone
(716) 298-2253

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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