Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS FOUNTALENE LASHAE PUCKETT, COTA/L
Active Sole ProprietorMISS FOUNTALENE LASHAE PUCKETT, COTA/L is a Occupational Therapy Assistant healthcare provider located in HARTFORD, Kentucky. NPI 1740658186 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · HARTFORD, KY
Registration Details
- NPI Number
- 1740658186
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2015 (10.964093743756 yrs)
- Last Updated
- Sep 2, 2015
- License
-
A3718 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1211 MAIN STHARTFORD, KY, 423471619Browse KY providers · Browse ZIP 42347
- Phone
- 2702985426
- Fax
- 2702985237
- 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.