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Individual

MS. JULIE C. TALCOTT-FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L

Contact information

Practice address
1700 E BARNETT RD, MEDFORD, OR 97504-0052
(541) 773-8255
Mailing address
1700 E BARNETT RD, MEDFORD, OR 97504-0052
(541) 773-8255

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
287912
OR
225XP0200X
Pediatric Occupational Therapist
12366
CA

Other

Enumeration date
03/04/2013
Last updated
12/02/2013
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