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1154446771
ANNE MARIE FULTZ
MODESTO, CA
NPI
1154446771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist, Hand
(Licence: CA 13)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Ms. ANNE MARIE FULTZ OTR
830 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-7472
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Mailing Address
Ms. ANNE MARIE FULTZ OTR
6936 SHOEMAKE AVE
MODESTO, CA 95358-8595
Phone number: 209-544-9468
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