Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISE FULLMER, PTA
Active Sole ProprietorELISE FULLMER, PTA is a Occupational Therapist healthcare provider located in HOLLAND, Michigan. NPI 1215606645 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HOLLAND, MI
Registration Details
- NPI Number
- 1215606645
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2021 (4.9086319049195 yrs)
- Last Updated
- Sep 9, 2021
- License
-
5502005639 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12330 JAMES ST STE H10HOLLAND, MI, 494249575Browse MI providers · Browse ZIP 49424
- Phone
- 6165823142
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in HOLLAND, MI
| Name | Credential | NPI |
|---|---|---|
| SABRINA M AMBROSE | PTA | 1871521971 |
| DERRICK MULLINS | — | 1598194946 |
| KENNETH SPAULDING | PTA | 1710316047 |
| MRS. JODI LYNN MESBERGEN | PTA | 1689090805 |
| MARY SCHAEFF-PICKELMAN | — | 1023409414 |
| KRISTY L VANWORT | — | 1033506696 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.