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

Individual provider Occupational Therapy Assistant · NPI 1700056165

Tina Lee Bullis, COTA is an Occupational Therapy Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

14598 Berringer Ln
Jacksonville, FL 32258-4482
Phone: (352) 359-0893
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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 9384 (FL)

Record details

NPI number1700056165
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 1, 2008
Last updated in NPPESMarch 1, 2008

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