Individual
ANN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
945 FOREST ST, DOVER, DE 19904-3401
(302) 672-1965
Mailing address
118 SOUTH SIXTH ST, P.O. BOX 4010, ODESSA, DE 19730-4010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0000582
DE
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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