Individual
CHRISTAL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5000
(361) 808-2061
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112203
TX
225XP0200X
Pediatric Occupational Therapist
112203
TX
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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