Individual provider · Type 1 NPI

Mia Brooke Fulleylove

Occupational Therapy Assistant · Visalia, CA

NPI number 1043185051 Active

Practice location

2208 W Sunnyside Ave
Visalia, CA 93277-7295

Call (559) 627-3274 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X7192 (CA)

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 1043185051

Mia Brooke Fulleylove's National Provider Identifier is 1043185051, issued on Oct 8, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Visalia, CA. The record was last updated on Oct 8, 2025.