SARA DAKOTA FULGHUM

MOUNT PLEASANT, WI
NPI1558077974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  8155-26)
Enumeration Date2023-01-30
Last Update Date2023-01-30
Business Address
SARA DAKOTA FULGHUM
13203 GLOBE DR STE 111
MOUNT PLEASANT, WI 53177-1616
Phone number: 262-287-0090
Mailing Address
SARA DAKOTA FULGHUM
6058 109TH AVE
KENOSHA, WI 53142-7598
Phone number: 847-702-7363