Breanna Maria Fuller
NPI #1891579231 in Avondale, Pennsylvania
Provider Information
- NPI Number
- 1891579231
- Entity Type
- Individual
- Name
- Breanna Maria Fuller
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Aug 24, 2023
- Last Updated
- Aug 24, 2023
Practice Location
- Address
- 400 INDIAN RUN RD
- City
- Avondale
- State
- Pennsylvania
- ZIP Code
- 19311-1509
- Phone
- (443) 752-9120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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