Individual
ERICA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Mailing address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19657
CA
225X00000X
Occupational Therapist
Primary
23157
FL
Other
Enumeration date
02/28/2019
Last updated
07/02/2023
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