Individual
DENITA FULLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5491 FAR HILLS AVE, DAYTON, OH 45429-2325
(937) 436-5763
Mailing address
362 SHADOWOOD DR, VANDALIA, OH 45377-1581
(937) 478-7659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA03535
OH
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us