IndividualActive
Austin Fulcher
NPI 1669352654 · Occupational Therapy Assistant · Bloomingdale, GA
Provider details
- NPI number
- 1669352654
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- OTA003148 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
335 Old Rail Rd
Bloomingdale, GA 31302-4025
Phone: (912) 421-0140
Approximate (ZIP-level) locationGet directions
Mailing address
891 Old Dixie Hwy S
Springfield, GA 31329-4014
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2025-09-03
- Certified
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.