Individual
LISA MARIE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9854 S 43RD PL, PHOENIX, AZ 85044-7528
(480) 785-8827
Mailing address
9854 S 43RD PL, PHOENIX, AZ 85044-7528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
03/20/2009
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