Individual
RACHEL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
50 JOACHIM DR, GULF BREEZE, FL 32561-4474
(850) 898-9506
Mailing address
10816 CREEK RIDGE DR, PENSACOLA, FL 32506-8218
(270) 498-0841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19105
FL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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