Individual provider · Type 1 NPI

Melissa A. Fullerton, OTR

Occupational Therapist · Providence, RI

NPI number 1700950342 Active

Practice location

164 Summit Ave
Providence, RI 02906-2853

Call (401) 793-2500 Map

Mailing address

222 Killey Ave, Unit A3
Warwick, RI 02889-3100

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT01081 (RI)

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 1700950342

Melissa A. Fullerton, OTR's National Provider Identifier is 1700950342, issued on Nov 17, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.