Individual
ALANAH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9251 STONESTREET RD, LOUISVILLE, KY 40272-2858
(877) 407-3422
(877) 407-4329
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
136041
KY
Other
Enumeration date
09/28/2015
Last updated
04/30/2025
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