Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Fullard

Individual provider Occupational Therapist · NPI 1124840798

Marissa Fullard is an Occupational Therapist in Manning, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024

Practice location Address checks out

297 W Boyce St
Manning, SC 29102-3004
Phone: (803) 433-9001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 7409 (SC)

Record details

NPI number1124840798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address1395 Airport Rd, Sumter, SC 29153-8784

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