Tori Fanguy, COTA

NPI #1720554298 in Gary, Texas

Provider Information

NPI Number
1720554298
Entity Type
Individual
Name
Tori Fanguy, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Oct 22, 2018
Last Updated
Oct 22, 2018

Practice Location

Address
158 COUNTY ROAD 1212
City
Gary
State
Texas
ZIP Code
75643-4357
Phone
(903) 754-7813

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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