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

Susan Fuller

Individual provider Occupational Therapist · NPI 1700660164

Susan Fuller is an Occupational Therapist in Eagan, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2023
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Practice location Address checks out

2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930
Phone: (651) 994-9644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14635 Pennock Ave Ste 300, Apple Valley, MN 55124-6588 — (651) 994-9644

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 100051 (MN)

Record details

NPI number1700660164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930

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