Individual
MS. ANNE MARIE FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7472
(209) 558-8649
Mailing address
6936 SHOEMAKE AVE, MODESTO, CA 95358-8595
(209) 544-9468
(209) 558-9649
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
13
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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