IndividualActive
Aaron Fuller, COTA
NPI 1265815575 · Occupational Therapy Assistant · Phoenix, AZ
Provider details
- NPI number
- 1265815575
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- License
- 5360 (AZ)
Practice location
8008 S Jesse Owens Pkwy
Phoenix, AZ 85042-6516
Phone: (602) 243-2780
Fax: (602) 243-7079
Mailing address
4432 E Douglas Ave
Gilbert, AZ 85234-7409
Registry dates
- Enumerated
- 2015-07-06
- Last updated
- 2015-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.