Individual
GRACE CAROLINE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
2776 JANITELL RD, COLORADO SPRINGS, CO 80906-4103
(719) 332-4689
Mailing address
2776 JANITELL RD, COLORADO SPRINGS, CO 80906-4103
(719) 332-4689
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007216
CO
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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