Individual
MRS. CHRISTY ANN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5900 MEADOW CREEK DR, MILFORD, OH 45150-5641
(513) 248-1655
Mailing address
1711 OLD SILO DR, LOVELAND, OH 45140-8537
(513) 575-3848
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA - 01935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0616533
—
OH
Enumeration date
06/29/2007
Last updated
07/08/2007
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