Grant Fuller, OTA
Grant Fuller, OTA is an Occupational Therapy Assistant in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2022.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
12770 Coit Rd Ste 870Dallas, TX 75251-1455
Phone: (501) 794-7866
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 217275 (TX) |
|---|
Record details
| NPI number | 1003558107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTA |
| Sole proprietor | No |
| NPI enumerated | April 8, 2022 |
| Last updated in NPPES | April 8, 2022 |
| Certification date | April 8, 2022 |
| Mailing address | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 |
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