Individual
MS. MELISSA A FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-2500
Mailing address
222 KILLEY AVE, UNIT A3, WARWICK, RI 02889-3100
(401) 480-1538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01081
RI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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