Individual
ALLIE SHEA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 SCHERM RD STE 1, OWENSBORO, KY 42301-5300
(270) 685-9499
Mailing address
1605 SCHERM RD STE 1, OWENSBORO, KY 42301-5300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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