IndividualActive
Amanda Fuller, OTRL
NPI 1366910101 · Pediatric Occupational Therapist · Colorado Springs, CO
Provider details
- NPI number
- 1366910101
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- No
- License
- OT.0005616 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
685 Citadel Dr E Ste 250
Colorado Springs, CO 80909-5396
Phone: (719) 685-7890
Approximate (ZIP-level) locationGet directions
Mailing address
1129 Stanton St
Colorado Springs, CO 80907-4677
Registry dates
- Enumerated
- 2018-11-09
- Last updated
- 2018-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.