NPI 1083144828

Jacqueline Nicole Fullerton

Practitioner Occupational Therapist Tuba City, AZ

Practice location

Address: 167 North Main Street, Tuba City, AZ 86045
Phone: (928) 283-2590
Fax: (928) 283-2591
Mailing address: 2 Sturbridge CT, Baldwin, MD 21013-9600

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

Other Occupational Therapist providers in Arizona →

Registry record

NPI: 1083144828
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2017
Record last updated: 14 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.