Individual
CAROLYN G FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2030 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5830
(843) 766-8123
(843) 763-4056
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3602
SC
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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