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Individual

SARA ANN FULMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
302 AVENUE 2 NW, ATKINS, AR 72823-4139
(501) 208-3564
(501) 336-8235
Mailing address
36 BRANNON RD, GREENBRIER, AR 72058-9201
(501) 733-0084

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1954
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5Y137
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/31/2006
Last updated
07/08/2007
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