NPI | 1265722524 |
---|---|
Former Name | ALLISON ROSE FULTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 15080) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00546800) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2023-03-14 |