Fullerton, Samantha Jo

Fullerton, Samantha Jo is an individual health care provider with primary practice located at 2218 W 32Nd St , Joplin MO 64804-3514. 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, Samantha Jo can be contacted via phone (417) 623-5264.

Contact Information

Primary practice address
2218 W 32Nd St Joplin MO 64804-3514
Phone: (417) 623-5264
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 115050 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2018009632 Missouri

Profile Details

NPI number 1669724670
LBN Legal business name Fullerton, Samantha Jo
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2012
Last updated Aug 5th, 2025 - about last year

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.

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