Amanda Fullerton, MOT, OTR/L Valid NPI

Individual provider · Occupational Therapist · O Fallon, MO

NPI

1255625711

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

2010025352 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2011-06-01

Last updated

2019-07-17