Individual provider · Type 1 NPI

Sara Dakota Fulghum

Occupational Therapist · Mount Pleasant, WI

NPI number 1558077974 Active

Practice location

13203 Globe Dr Ste 111
Mount Pleasant, WI 53177-1616

Call (262) 287-0090 Map

Mailing address

6058 109th Ave
Kenosha, WI 53142-7598

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X8155-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1558077974

Sara Dakota Fulghum's National Provider Identifier is 1558077974, issued on Jan 30, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Mount Pleasant, WI. The record was last updated on Jan 30, 2023.