Individual
ASHLEY TULLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1101 W VICKERY BLVD, FORT WORTH, TX 76104-1025
(682) 885-6294
(682) 885-1135
Mailing address
PO BOX 99283, FORT WORTH, TX 76199-0283
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112965
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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