(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003558107
Provider Name: GRANT FULLER OTA
Entity Type: Individual
Taxonomy Code: 224Z00000X
Specialty: Occupational Therapy Assistant
License Number: 217275
Most Important Dates
Enumeration Date: 04/08/2022
Last Updated: 04/08/2022
Provider Practice Location
12770 COIT RD STE 870
DALLAS
TX
752511455
Practice Location Phone/Fax
Phone: 5017947866
Fax:
Provider Mailing Location
12770 COIT RD STE 870
DALLAS
TX
752511455
Provider Mailing Phone/Fax
Phone:
Fax: