| Devan Raelee Fulda, OTR/L | |
|
803 Bermuda Bay Blvd, Kill Devil Hills, NC 27948-9537 | |
| (252) 489-4682 | |
| Not Available |
| Full Name | Devan Raelee Fulda |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 803 Bermuda Bay Blvd, Kill Devil Hills, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922519115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 10409 (North Carolina) | Primary |
| Provider Name | Blue Water Ear Nose And Throat, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295255255 PECOS PAC ID: 7810263571 Enrollment ID: O20171024002624 |
| Mailing Address | Practice Location Address |
|---|---|
| Devan Raelee Fulda, OTR/L 755 Haywood Rd Ste H, Asheville, NC 28806-3132 Ph: (828) 774-5222 | Devan Raelee Fulda, OTR/L 803 Bermuda Bay Blvd, Kill Devil Hills, NC 27948-9537 Ph: (252) 489-4682 |
Ms. Michaela Anne Raach, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3210 N Croatan Hwy Ste 1b, Kill Devil Hills, NC 27948 Phone: 704-654-8599 Fax: 980-938-6088 | |
Mr. Michael David Calhoun, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3210 N. Croatan Hwy., Ste 3, 2nd Floor, Kill Devil Hills, NC 27948 Phone: 252-255-5252 Fax: 252-480-0943 | |
Emily Foster, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3210 N Croatan Hwy Ste 1b, Kill Devil Hills, NC 27948 Phone: 704-654-8599 Fax: 980-938-6088 | |
Louisa Farr, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 803 Bermuda Bay Blvd, Kill Devil Hills, NC 27948 Phone: 914-424-2897 | |