| Jacqueline Nicole Fullerton, | |
|
167 North Main Street, Tuba City, AZ 86045 | |
| (928) 283-2590 | |
| (928) 283-2591 |
| Full Name | Jacqueline Nicole Fullerton |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 167 North Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083144828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Nicole Fullerton, 2 Sturbridge Ct, Baldwin, MD 21013-9600 Ph: (443) 504-3315 | Jacqueline Nicole Fullerton, 167 North Main Street, Tuba City, AZ 86045 Ph: (928) 283-2590 |
Ms. Gloria Brandt, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: E. Fir St., Tuba City Unified School District, Tuba City, AZ 86045 Phone: 928-283-4211 | |
Ms. Grace Elizabeth Reid, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2873 | |
Marty E Wilcox, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Carlos T Stanford, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Mrs. Ashley Benford, OTD/OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2095 |