STACEY FULKERSON

PROVIDENCE, RI
NPI1902117831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: RI  OT00162-G)
Enumeration Date2010-06-25
Last Update Date2010-06-25
Business Address
-- STACEY FULKERSON OT
1000 EDDY STREET
PROVIDENCE, RI 02905
Phone number: 401-533-9100
Mailing Address
-- STACEY FULKERSON OT
1000 EDDY STREET
PROVIDENCE, RI 02905
Phone number: 401-533-9100
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