SAMANTHA FULP

WASHINGTON, DC
NPI1013400274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: DC  OT010001539)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: TX  119196)
Enumeration Date2018-06-12
Last Update Date2019-04-06
Business Address
SAMANTHA FULP
101 T ST NE
WASHINGTON, DC 20002-1519
Phone number: 956-278-0770
Mailing Address
SAMANTHA FULP
11001 W 120TH AVE STE 310
BROOMFIELD, CO 80021-3493
Phone number: 956-278-0770