Healthcare Provider Details

I. General information

NPI: 1952638397
Provider Name (Legal Business Name): FABIANE MICHELE CURRO DOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6179 EXECUTIVE BLVD
ROCKVILLE MD
20852-3901
US

IV. Provider business mailing address

6179 EXECUTIVE BLVD
ROCKVILLE MD
20852-3901
US

V. Phone/Fax

Practice location:
  • Phone: 240-355-7746
  • Fax: 301-315-8883
Mailing address:
  • Phone: 240-355-7746
  • Fax: 301-315-8883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number06357
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: