Individual
DAVID FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6525 N MERIDIAN AVE, #311, OKLAHOMA CITY, OK 73116-1420
(405) 721-1115
Mailing address
6525 N MERIDIAN AVE, #311, OKLAHOMA CITY, OK 73116-1420
(405) 721-1115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1663
OK
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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