Individual
SAMANTHA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 MIDDLEBORO RD, NEWARK, DE 19711-1971
(302) 992-5574
Mailing address
99 MIDDLEBORO RD, WILMINGTON, DE 19804
(302) 992-5574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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