Marissa Fullard

NPI #1124840798 in Manning, South Carolina

Provider Information

NPI Number: 1124840798
Entity Type: Individual
Name: Marissa Fullard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 25, 2024
Last Updated: Oct 25, 2024

Practice Location

Address: 297 W BOYCE ST
City: Manning
State: South Carolina
ZIP Code: 29102-3004
Phone: (803) 433-9001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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