MEDICARE: MRS. ERIKA MARIE FULFER MA, 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
1	225XP0200X	Pediatric Occupational Therapist	OT-490	ID

General Provider Information

NPI Number	:	1871817858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIKA MARIE FULFER MA, OTR/L

Provider Business Mailing Address
First Line	:	1618 N 21ST ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-0729
Country	:	US
Telephone Number	:	208-867-7029
Fax Number	:

Provider Business Practice Location Address
First Line	:	1618 N 21ST ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-0729
Country	:	US
Telephone Number	:	208-867-7029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2010
Last Update Date	:	03/20/2010

Similar Medicare Providers

1538925854 — BARBARA MCGEE STRAUSS PMHNP
Practice Location Address:

720 N 16TH ST APT 104
BOISE, ID
83702-4082

Practice Phone: 208-761-8588
Practice Fax:

1740071554 — RONIA JORDAN
Practice Location Address:

1403 W FRANKLIN ST
BOISE, ID
83702-5024

Practice Phone: 208-590-3218
Practice Fax: 888-261-8114

1013843044 — CASEY MATTHEWS
Practice Location Address:

1276 W RIVER ST STE 100
BOISE, ID
83702-7083

Practice Phone: 208-919-2453
Practice Fax:

1609702604 — GROUNDED WELLNESS PLLC
Practice Location Address:

1010 W WASHINGTON ST
BOISE, ID
83702-5446

Practice Phone: 208-860-2390
Practice Fax:

1467115428 — SCOTT STANTLIFF LCPC
Practice Location Address:

1109 W MYRTLE ST STE 200
BOISE, ID
83702-6975

Practice Phone: 208-706-6375
Practice Fax: 208-706-6395

1457287146 — CAVU PSYCHIATRY PLLC
Practice Location Address:

720 N 16TH ST
BOISE, ID
83702-4007

Practice Phone: 208-761-8588
Practice Fax:

Directions to “ MRS. ERIKA MARIE FULFER MA, OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.