Healthcare Provider Details

I. General information

NPI: 1851416275
Provider Name (Legal Business Name): ERIK S. FABBRI OT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 SUMMERS ST
PARKERSBURG WV
26101-6022
US

IV. Provider business mailing address

5203 BRISCOE RD
PARKERSBURG WV
26105-8124
US

V. Phone/Fax

Practice location:
  • Phone: 304-428-5573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number917
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: