Individual
CAROLINE FULLERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1928 SAGEWAY DR, TALLAHASSEE, FL 32303-7330
(850) 508-3646
Mailing address
1928 SAGEWAY DR, TALLAHASSEE, FL 32303-7330
(850) 508-3646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT008000
GA
225X00000X
Occupational Therapist
Primary
OT19086
FL
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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