Fullerton, Amanda
Fullerton, Amanda is an individual health care provider with primary practice located at 2120 Bryan Valley Commercial Dr , O Fallon MO 63366-3495. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fullerton, Amanda can be contacted via phone (314) 774-1859.Contact Information
Primary practice address
2120 Bryan Valley Commercial Dr
O Fallon MO 63366-3495
Phone: (314) 774-1859
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2010025352 | Missouri |
Profile Details
| NPI number | 1255625711 |
|---|---|
| LBN Legal business name | Fullerton, Amanda |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2011 |
| Last updated | Jul 17th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Naqvi, Soofia Afzal
6945 Clayborne Dr , O Fallon MO 63368-6203 -
Hoette, Margaret
110 Virgil St , O Fallon MO 63366-2637 -
Lohmar, Stephanie L
110 Virgil St Ft Zumwalt R-Ii, O Fallon MO 63366-2637 -
Bettis, Emily C
2120 Bryan Valley Commercial Dr , O Fallon MO 63366-3495 -
Erdmann, Rachel
700 Garden Path , O Fallon MO 63366-3052 -
Kilmurry, Tracy M
Ft Zumwalt R-Ii 110 Virgil St, O Fallon MO 63366-2637 -
Dunivan, Keri Lynn
329 Falcon Hill Dr , O Fallon MO 63368-3776 -
Douglas, Carla Louise
20 Fawn Oaks Dr , O Fallon MO 63366-1071