Individual
MRS. JILL FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2718 WILLARD AVE, CINCINNATI, OH 45209-2205
(513) 259-7686
(513) 259-7686
Mailing address
2718 WILLARD AVE, CINCINNATI, OH 45209-2205
(513) 259-7686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004721
OH
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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