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Contact Information

TIFFANY FULLER
7950 MILLHAVEN RD
MONROE, LA71203-9008
 Phone: 318-737-1117
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TIFFANY FULLER · (Female)

NPI # 1326606716
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2019
Last updated 05/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 307722
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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