MIA FULLER

ALPHARETTA, GA
NPI1619045770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT000932)
Additional Taxonomies225XH1200X Occupational Therapist, Hand
(Licence: GA  ot000932)
Enumeration Date2006-11-30
Last Update Date2019-08-16
Business Address
Mrs. MIA FULLER MS,OTR,CHT
11180 STATE BRIDGE RD SUITE 305
ALPHARETTA, GA 30022-7482
Phone number: 678-992-0303
Mailing Address
Mrs. MIA FULLER MS,OTR,CHT
2285 HAMPTONS XING
ALPHARETTA, GA 30005-7415
Phone number: 404-308-3820