Individual
BRITTANY FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6165 E IONA LN, INVERNESS, FL 34452-7627
(352) 270-7129
Mailing address
6165 E IONA LN, INVERNESS, FL 34452-7627
(352) 270-7129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29190
FL
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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