Individual
LUCY FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
511 OLD LANCASTER RD STE 12, BERWYN, PA 19312-1671
(484) 919-5601
Mailing address
511 OLD LANCASTER RD STE 12, BERWYN, PA 19312-1671
(484) 919-5601
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OC017551
PA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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