Individual
OLIVIA FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2280 IVY RD STE G271, CHARLOTTESVILLE, VA 22903-4977
(434) 243-0311
(434) 243-0320
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119011203
VA
Other
Enumeration date
12/16/2025
Last updated
12/31/2025
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