Gayle E. Fulkerson

NPI #1447478144 in Ottawa, Illinois

Provider Information

NPI Number
1447478144
Entity Type
Individual
Name
Gayle E. Fulkerson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Apr 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
734 E MICHIGAN ST
City
Ottawa
ZIP Code
61350-2412
Phone
(815) 431-9260

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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