Lee Ann Fulper Waller, PT, DPT

NPI #1912350935 in Chatham, Virginia

Provider Information

NPI Number: 1912350935
Entity Type: Individual
Name: Lee Ann Fulper Waller, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jul 14, 2016
Last Updated: Jul 14, 2016

Practice Location

Address: 47 DEPOT ST
City: Chatham
State: Virginia
ZIP Code: 24531-5518
Phone: (434) 432-0028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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