Individual provider · Type 1 NPI

Suzanne Lanay Fullerton, OTRL

Occupational Therapist · Little Rock, AR

NPI number 1114075405 Active

Practice location

12709 Meadows Edge Lane
Little Rock, AR 72211-1802

Mailing address

12709 Meadows Edge Ln
Little Rock, AR 72211-4443

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1058 (AR)
Pediatric Occupational Therapist 225XP0200X1058 (AR)

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 1114075405

Suzanne Lanay Fullerton, OTRL's National Provider Identifier is 1114075405, issued on Jan 5, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Little Rock, AR. The record was last updated on Dec 17, 2010.