MRS. Amanda Fulford, COTA/L
NPI #1548904303 in Pemberville, Ohio
Provider Information
- NPI Number
- 1548904303
- Entity Type
- Individual
- Name
- MRS. Amanda Fulford, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Apr 26, 2022
- Last Updated
- Apr 26, 2022
Practice Location
- Address
- 20311 PEMBERVILLE RD
- City
- Pemberville
- State
- Ohio
- ZIP Code
- 43450-9413
- Phone
- (419) 833-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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