Individual provider · Type 1 NPI

Tierra Fuller

Rehabilitation Practitioner · View Park, CA

NPI number 1669946372 Active

Practice location

5300 Angeles Vista Blvd
View Park, CA 90043

Call (323) 295-4555 Map

Other practice locations

  • 5201 S Vermont Ave, Los Angeles, CA 90037-3527 · (323) 751-3026

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1669946372

Tierra Fuller's National Provider Identifier is 1669946372, issued on Jan 15, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in View Park, CA. The record was last updated on Jun 12, 2019.