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Individual

MRS. KAREN LYNN FULKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA L

Contact information

Practice address
2907 WILLIAMSON COUNTY PARKWAY, MARION, IL 62959
(618) 998-9894
Mailing address
17 N TEXAS ST, HARRISBURG, IL 62946
(618) 253-7210

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
11/16/2006
Last updated
07/08/2007
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