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NPI Code Detail

MEDICARE: MRS. EMILY C FULTON OTR/L

MEDICARE: MRS. EMILY C FULTON OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1385NE

General Provider Information

NPI Number : 1295055218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY C FULTON OTR/L
Provider Business Mailing Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number : 719-234-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2010
Last Update Date : 08/20/2025

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