Kenneth Fuller Jr.
Kenneth Fuller Jr. is an Occupational Therapy Assistant in Perry, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
106 S Beverly StPerry, FL 32348-5122
Phone: (850) 295-5314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OTA 13652 (FL) |
|---|
Record details
| NPI number | 1184035198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2014 |
| Last updated in NPPES | May 13, 2014 |
| Mailing address | 106 S Beverly St, Perry, FL 32348-5122 |
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