Individual provider · Type 1 NPI

Jill Fuller

Occupational Therapy Assistant · Anoka, MN

NPI number 1114060134 Active

Practice location

22426 Saint Francis Blvd
Anoka, MN 55303-9670

Call (763) 389-8951 Map

Mailing address

3124 165th Lane NE
Ham Lake, MN 55304-5152

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X201339 (MN)

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 1114060134

Jill Fuller's National Provider Identifier is 1114060134, issued on Feb 15, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Anoka, MN. The record was last updated on Jul 8, 2007.