Kenneth Fuller JR.

NPI #1184035198 in Perry, Florida

Provider Information

NPI Number
1184035198
Entity Type
Individual
Name
Kenneth Fuller JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
May 13, 2014
Last Updated
May 13, 2014

Practice Location

Address
106 S BEVERLY ST
City
Perry
State
Florida
ZIP Code
32348-5122
Phone
(850) 295-5314

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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