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

AUSTIN FULCHER

Active Sole Proprietor

AUSTIN FULCHER is a Occupational Therapy Assistant healthcare provider located in BLOOMINGDALE, Georgia. NPI 1669352654 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BLOOMINGDALE, GA

Registration Details

NPI Number
1669352654
Provider Type
Individual
Gender
Male
NPI Issued
Sep 3, 2025 (0.95234882041499 yrs)
Last Updated
Sep 3, 2025
License
OTA003148 (GA)
Sole Proprietor
Yes

Practice Information

Address
335 OLD RAIL RD
BLOOMINGDALE, GA, 313024025
Browse GA providers · Browse ZIP 31302
Phone
9124210140
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.