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

KENNETH FULLER JR.

Active Sole Proprietor

KENNETH FULLER JR. is a Occupational Therapy Assistant healthcare provider located in PERRY, Florida. NPI 1184035198 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PERRY, FL

Registration Details

NPI Number
1184035198
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2014 (12.258080564561 yrs)
Last Updated
May 13, 2014
License
OTA 13652 (FL)
Sole Proprietor
Yes

Practice Information

Address
106 S BEVERLY ST
PERRY, FL, 323485122
Browse FL providers · Browse ZIP 32348
Phone
8502955314
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in PERRY, FL

Name Credential NPI
MR. MOSES BWETE COTA 1740530526
LATRICIA SLAUGHTER 1356753388
KAYLEE NAWLIN COTA 1386018554
RACHEL GILLIAM 1609233170
AMANDA DANIELLE LUKENS COTA 1902347750
WILLIAM DEVAN COURTNEY 1336641554
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.