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1477307064
TINA FULCHER
MARTINSVILLE, VA
NPI
1477307064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131-002102)
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
TINA FULCHER COTA/L
350 KINGS WAY RD
MARTINSVILLE, VA 24112-6631
Phone number: 276-634-1000
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Mailing Address
TINA FULCHER COTA/L
571 KEN LANE
RIDGEWAY, VA 24148
Phone number: 276-734-0102
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