Individual
JENNIFER G FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1860 TOWN CENTER DR STE 300, RESTON, VA 20190-5900
(703) 435-6604
(703) 662-4506
Mailing address
1860 TOWN CENTER DR STE 300, RESTON, VA 20190-5900
(703) 435-6604
(703) 662-4506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005289
VA
Other
Enumeration date
02/21/2011
Last updated
03/30/2021
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