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1700950342
MELISSA A FULLERTON
PROVIDENCE, RI
NPI
1700950342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI ot01081)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Ms. MELISSA A FULLERTON OTR
164 SUMMIT AVE
PROVIDENCE, RI 02906-2853
Phone number: 401-793-2500
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Mailing Address
Ms. MELISSA A FULLERTON OTR
222 KILLEY AVE UNIT A3
WARWICK, RI 02889-3100
Phone number: 401-480-1538
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