Individual
HEATHER KATHLEEN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 SFC 366, FORREST CITY, AR 72335-5101
(870) 821-0924
(870) 238-7889
Mailing address
131 SFC 366, FORREST CITY, AR 72335-5101
(870) 821-0924
(870) 238-7889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
O-T1316
AR
224Z00000X
Occupational Therapy Assistant
Primary
OT-A780
AR
Other
Enumeration date
06/12/2013
Last updated
11/28/2023
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