Individual
MRS. NANCY ANNE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5315 ELLIOTT DR, STE 202, YPSILANTI, MI 48197
(734) 712-0600
(734) 712-0522
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201001310
MI
Other
Enumeration date
03/05/2008
Last updated
11/26/2008
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