SAMANTHA JO FULLERTON

JOPLIN, MO
NPI1669724670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2018009632)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: TX  115050)
Enumeration Date2012-10-15
Last Update Date2025-08-05
Business Address
SAMANTHA JO FULLERTON OTR/L
2218 W 32ND ST
JOPLIN, MO 64804-3514
Phone number: 417-623-5264
Mailing Address
SAMANTHA JO FULLERTON OTR/L
1808 NEW HAMPSHIRE AVE
JOPLIN, MO 64804-0953
Phone number: 417-392-9327