Individual provider · Type 1 NPI

Grant Fuller, OTA

Occupational Therapy Assistant · Dallas, TX

NPI number 1003558107 Active

Practice location

12770 Coit Rd Ste 870
Dallas, TX 75251-1455

Call (501) 794-7866 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X217275 (TX)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003558107

Grant Fuller, OTA's National Provider Identifier is 1003558107, issued on Apr 8, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Dallas, TX. The record was last updated on Apr 8, 2022.