Individual
KAITLIN MARIE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 HARRIET LN, CUMBERLAND, RI 02864-4615
(401) 465-7629
Mailing address
202 HARRIET LN, CUMBERLAND, RI 02864-4615
(401) 465-7629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11018
MA
Other
Enumeration date
09/16/2013
Last updated
03/06/2025
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