Kenneth Fuller Jr.

Occupational Therapy Assistant · Perry, FL

Individual Active NPI

NPI number 1184035198

Practice location

106 S Beverly St
Perry, FL 32348-5122
Phone
(850) 295-5314

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NPI record

NPI
1184035198
Entity type
Individual (Type 1)
Enumeration date
May 13, 2014
Last updated
May 13, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X OTA 13652 FL

About Kenneth Fuller

Kenneth Fuller Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 106 S Beverly St, Perry, FL 32348-5122. The NPI number 1184035198 was assigned on May 13, 2014 and the record was last updated on May 13, 2014.

Kenneth Fuller lists a license in the registry: #OTA 13652 (FL) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Fuller Jr.?

The NPI number is 1184035198.

What is the phone number of Kenneth Fuller?

The phone number listed for the practice location is (850) 295-5314.

Where is Kenneth Fuller located?

106 S Beverly St, Perry, FL 32348-5122.

What is the taxonomy code for Kenneth Fuller?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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