Individual
ANNA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 OAK TREE RD, BLUFFTON, SC 29910-4960
(843) 384-1803
Mailing address
81 OAK TREE RD, BLUFFTON, SC 29910-4960
(843) 384-1803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1856
SC
Other
Enumeration date
07/05/2007
Last updated
04/30/2015
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