Most Relevant Information
Provider Data
| NPI Number: | 1003026444 |
| Provider Name: | CAROL GAUDIO |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1201 SAM PERRY BLVD
FREDERICKSBURG
VA
224014490
Practice Location Phone/Fax
| Phone: | 5407411542 |
| Fax: |
Provider Mailing Location
85 DELMAR LN
FREDERICKSBURG
VA
224064745
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |