| NPI | 1114075405 |
|---|---|
| Other Name | SUZANNE LANAY FULLERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR 1058) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR 1058) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-12-17 |