Search › Idaho › Occupational Therapy Assistant
Tina Wayland Fuller, COTA/L
NPI 1922420736 · on the registry since 2014
Practice
- Address
- 895 N 6th E
Mt Home, ID 83647 - Phone
- (208) 580-9806
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho