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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIA BROOKE FULLEYLOVE

Active

MIA BROOKE FULLEYLOVE is a Occupational Therapy Assistant healthcare provider located in VISALIA, California. NPI 1043185051 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · VISALIA, CA

Registration Details

NPI Number
1043185051
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2025 (0.8103064771243 yrs)
Last Updated
Oct 8, 2025
License
7192 (CA)

Practice Information

Address
2208 W SUNNYSIDE AVE
VISALIA, CA, 932777295
Browse CA providers · Browse ZIP 93277
Phone
5596273274
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in VISALIA, CA

Name Credential NPI
ANITA RACHAEL DALLMAN COTA 1831313519
NORVETTA ANN REID COTA 1669673471
MR. WALTER JAMES REID JR. THERAPIST 1275734089
STEPHEN E. SOUZA 1336784891
JAMES GARCIA OTA 1407488430
SAJID JIMENEZ OTA 1275165219
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.