MR. Patrick Shepard Fuller, PT, DPT
NPI #1891981221 in Indialantic, Florida
Provider Information
- NPI Number
- 1891981221
- Entity Type
- Individual
- Name
- MR. Patrick Shepard Fuller, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Sep 19, 2007
- Last Updated
- Sep 19, 2007
Practice Location
- Address
- 408 5TH AVE
- City
- Indialantic
- State
- Florida
- ZIP Code
- 32903-4280
- Phone
- (321) 727-2707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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