KATELYN MICHELLE FULWIDER

NIXA, MO
NPI1043938780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2017029562)
Enumeration Date2022-08-18
Last Update Date2022-08-18
Business Address
KATELYN MICHELLE FULWIDER
1575 PARKER RD
NIXA, MO 65714-9522
Phone number: 417-631-6072
Mailing Address
KATELYN MICHELLE FULWIDER
1575 PARKER RD
NIXA, MO 65714-9522
Phone number: 417-631-6072
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