Individual
MADISON FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3336 E CHANDLER HEIGHTS RD STE 126, GILBERT, AZ 85298-4264
(480) 840-6125
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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