MRS. Amanda Fullerton, MOT, OTR/L

NPI #1255625711 in O Fallon, Missouri

Provider Information

NPI Number: 1255625711
Entity Type: Individual
Name: MRS. Amanda Fullerton, MOT, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOT, OTR/L
Enumeration Date: Jun 1, 2011
Last Updated: Jul 17, 2019

Practice Location

Address: 2120 BRYAN VALLEY COMMERCIAL DR
City: O Fallon
State: Missouri
ZIP Code: 63366-3495
Phone: (314) 774-1859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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