Individual
CINDY FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 MARKWITH AVE, GREENVILLE, OH 45331-1694
(937) 548-4464
Mailing address
PO BOX 368, 132 WEST BUTLER STREET, FORT RECOVERY, OH 45846-0368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA.02997
OH
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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