Individual
RONALD ARTHUR FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
435 UNION AVE, LACONIA, NH 03246-2918
(603) 527-8106
(603) 527-8142
Mailing address
435 UNION AVE, LACONIA, NH 03246-2814
(603) 527-8106
(603) 527-8142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
202
NH
Other
Enumeration date
10/30/2012
Last updated
10/16/2014
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