Individual
SOPHIA A. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CMTPT, CCRP
Contact information
Practice address
1506 N MCKENZIE ST STE 109, FOLEY, AL 36535-2264
(251) 923-5590
(251) 923-5592
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211993
VA
225100000X
Physical Therapist
Primary
PTH10386
AL
Other
Enumeration date
05/23/2018
Last updated
10/18/2021
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