Individual provider · Type 1 NPI

Jacqueline Nicole Fullerton

Occupational Therapist · Tuba City, AZ

NPI number 1083144828 Active

Practice location

167 North Main Street
Tuba City, AZ 86045

Call (928) 283-2590 Map

Fax (928) 283-2591

Mailing address

2 Sturbridge Ct
Baldwin, MD 21013-9600

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1083144828

Jacqueline Nicole Fullerton's National Provider Identifier is 1083144828, issued on Jun 14, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Tuba City, AZ. The record was last updated on Jun 14, 2017.