Individual
DEVAN RAELEE FULDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
803 BERMUDA BAY BLVD, KILL DEVIL HILLS, NC 27948-9537
(252) 489-4682
Mailing address
755 HAYWOOD RD STE H, ASHEVILLE, NC 28806-3132
(828) 774-5222
(828) 774-5254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10409
NC
Other
Enumeration date
10/16/2017
Last updated
10/07/2019
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