Individual
KIMBERLY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
441 WATERTOWER CIR, SUITE 100, COLCHESTER, VT 05446-5801
(802) 655-7575
(802) 655-1115
Mailing address
441 WATERTOWER CIR, SUITE 100, COLCHESTER, VT 05446-5801
(802) 655-7575
(802) 655-1115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002171
VT
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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