| Mr Henry Fuller Iii, MASTER OF SCIENCE OT | |
|
33 Mill St, Lisbon, ME 04250-6810 | |
| (207) 353-4132 | |
| (207) 353-4815 |
| Full Name | Mr Henry Fuller Iii |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 33 Mill St, Lisbon, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770891616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT246 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Henry Fuller Iii, MASTER OF SCIENCE OT 19 Gartley St, Lisbon, ME 04250-6431 Ph: (207) 353-6806 | Mr Henry Fuller Iii, MASTER OF SCIENCE OT 33 Mill St, Lisbon, ME 04250-6810 Ph: (207) 353-4132 |
Katherine Czich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Mill St, Lisbon, ME 04250 Phone: 207-353-6711 | |
Mr. Seth Patrick Beal, MOT OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Mill St., Lisbon, ME 04250 Phone: 207-353-6711 |