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

Individual provider Occupational Therapy Assistant · NPI 1467963785

Penelope Noell Fuller, COTA is an Occupational Therapy Assistant in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3420 Holloway St
Durham, NC 27703-3522
Phone: (919) 596-9464
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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 11161 (NC)

Record details

NPI number1467963785
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESOctober 12, 2017

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