Search › Missouri › 225X00000X
Amanda Fullerton, MOT, OTR/L
NPI 1255625711 · on the registry since 2011
Practice
- Address
- 2120 Bryan Valley Commercial Dr
O Fallon, MO 63366 - Phone
- (314) 774-1859
- Organisation at this address
- Brainworks Pediatric Group Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri