MRS. Jean Marie C Fuller, PT, DPT

NPI #1154517597 in Indialantic, Florida

Provider Information

NPI Number
1154517597
Entity Type
Individual
Name
MRS. Jean Marie C Fuller, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Sep 19, 2007
Last Updated
Mar 5, 2008

Practice Location

Address
408 5TH AVE
State
Florida
ZIP Code
32903-4280
Phone
(321) 727-2707

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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