Individual
MARY D FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
727 OAKLAND ST, HENDERSONVILLE, NC 28791-3647
(828) 693-4223
Mailing address
680 FAIRVIEW FOREST DR, FAIRVIEW, NC 28730-9647
(828) 772-9631
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13714
NC
Other
Enumeration date
04/17/2023
Last updated
12/16/2025
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