Susan Fuller

NPI #1700660164 in Eagan, Minnesota

Provider Information

NPI Number: 1700660164
Entity Type: Individual
Name: Susan Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 24, 2023
Last Updated: Aug 24, 2023

Practice Location

Address: 2795 PILOT KNOB RD STE 100
City: Eagan
State: Minnesota
ZIP Code: 55121-1930
Phone: (651) 994-9644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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