Individual
DAVID C. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1101 N ROCK RD, DERBY, KS 67037-3705
(316) 788-6963
(316) 788-5373
Mailing address
1101 N ROCK RD, DERBY, KS 67037-3705
(316) 788-6963
(316) 788-5373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03853
KS
Other
Enumeration date
08/20/2008
Last updated
10/06/2008
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