Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PATRICIA FULLER, OTR
Active Sole ProprietorMRS. PATRICIA FULLER, OTR is a Pediatric Occupational Therapist healthcare provider located in SHAWANO, Wisconsin. NPI 1689848764 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SHAWANO, WI
Registration Details
- NPI Number
- 1689848764
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2008 (18.341333875143 yrs)
- Last Updated
- Apr 18, 2008
- License
-
2196-026 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 LAKELAND RDSHAWANO, WI, 541663836Browse WI providers · Browse ZIP 54166
- Phone
- 7155265547
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.