Roene Fuller, PT

NPI #1174880264 in Socorro, New Mexico

Provider Information

NPI Number: 1174880264
Entity Type: Individual
Name: Roene Fuller, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: PT
Enumeration Date: Apr 13, 2012
Last Updated: Apr 13, 2012

Practice Location

Address: 1202 HIGHWAY 60 WEST
Address 2: SOCORRO GENERAL HOSPITAL
City: Socorro
State: New Mexico
ZIP Code: 87801-3914
Phone: (575) 835-1140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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