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

Mrs. Patricia Fuller, OTR

Individual provider Pediatric Occupational Therapist · NPI 1689848764

Mrs. Patricia Fuller, OTR is a Pediatric Occupational Therapist in Shawano, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

504 Lakeland Rd
Shawano, WI 54166-3836
Phone: (715) 526-5547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 2196-026 (WI)

Record details

NPI number1689848764
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 18, 2008
Last updated in NPPESApril 18, 2008