Individual
ASHLEY FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 W 92ND ST APT BB, NEW YORK, NY 10025-7556
(212) 595-1705
Mailing address
157 7TH ST APT 3, HOBOKEN, NJ 07030-4083
(772) 321-7663
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016070
NY
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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