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Gayle E. Fulkerson

Developmental Therapist in Ottawa, IL. Individual provider (NPI-1).

NPI number1447478144
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1447478144
Entity type
Individual (NPI-1)
Name
Gayle E. Fulkerson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 20, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

734 E Michigan St
Ottawa, IL 61350-2412

Phone 815-431-9260 · Fax 815-431-9260

Mailing address

734 E Michigan St
Ottawa, IL 61350-2412

Phone 815-431-9260 · Fax 815-431-9260

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Other Developmental Therapist providers in Ottawa, IL

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