Individual
LAURA ARMSTRONG-FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 BROOKCREST AVE, MORTON, IL 61550-3112
(815) 878-1632
Mailing address
1507 BROOKCREST AVE, MORTON, IL 61550-3112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006328
IL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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