Individual
KATHRYN ALLISON FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
611 KY HIGHWAY 392, CYNTHIANA, KY 41031-8715
(859) 948-8332
Mailing address
611 KY HIGHWAY 392, CYNTHIANA, KY 41031-8715
(859) 948-8332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3619
KY
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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