Individual
MAISIE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD/R
Contact information
Practice address
664 12TH ST W STE C, DICKINSON, ND 58601-3511
(701) 483-3899
(701) 483-3889
Mailing address
870 PHEASANT RUN AVE, DICKINSON, ND 58601-6536
(701) 483-3899
(701) 483-3889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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