Individual
ERIN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
847 WASHINGTON ST, APT 2, NEWTON, MA 02460-1548
(800) 578-7906
(800) 878-5497
Mailing address
PO BOX 7, CONCORDVILLE, PA 19331-0007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9569
MA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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