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

Mia Brooke Fulleylove

Individual provider Occupational Therapy Assistant · NPI 1043185051

Mia Brooke Fulleylove is an Occupational Therapy Assistant in Visalia, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2208 W Sunnyside Ave
Visalia, CA 93277-7295
Phone: (559) 627-3274
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 7192 (CA)

Record details

NPI number1043185051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

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