Individual provider · Type 1 NPI

Samantha Jo Fullerton, OTR/L

Occupational Therapist · Joplin, MO

NPI number 1669724670 Active

Practice location

2218 W 32nd St
Joplin, MO 64804-3514

Mailing address

1808 New Hampshire Ave
Joplin, MO 64804-0953

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X115050 (TX)
Occupational Therapist Primary 225X00000X2018009632 (MO)

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…

5 other providers at this address

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About NPI 1669724670

Samantha Jo Fullerton, OTR/L's National Provider Identifier is 1669724670, issued on Oct 15, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Joplin, MO. The record was last updated on Aug 5, 2025.