Individual provider · Type 1 NPI
Gayle E. Fulkerson
Developmental Therapist · Ottawa, IL
Practice location
734 E Michigan St
Ottawa, IL 61350-2412
Fax (815) 431-9260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1447478144
Gayle E. Fulkerson's National Provider Identifier is 1447478144, issued on Apr 20, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Ottawa, IL. The record was last updated on Jul 8, 2007.