Individual
DARA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2760 TRICOM ST, NORTH CHARLESTON, SC 29406-9169
(843) 300-8585
Mailing address
2760 TRICOM ST, NORTH CHARLESTON, SC 29406-9169
(843) 300-8585
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
8027
SC
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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