Tina Renee Wayland Fuller, COTA/L
Tina Renee Wayland Fuller, COTA/L is an Occupational Therapy Assistant in Mt Home, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
What do these letters mean?
- COTA/L — Certified Occupational Therapy Assistant, Licensed
- An occupational therapy assistant who is both certified and state licensed.
Practice location Address checks out
895 N 6th EMt Home, ID 83647-2207
Phone: (208) 580-9806
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OTA-1095 (ID) |
|---|
Record details
| NPI number | 1922420736 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COTA/L |
| Sole proprietor | No |
| NPI enumerated | January 13, 2014 |
| Last updated in NPPES | January 13, 2014 |