Fuller, Andre Laval
Fuller, Andre Laval is an individual health care provider with primary practice located at 560 Lebo Blvd , Bremerton WA 98310. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Fuller, Andre Laval can be contacted via phone (971) 206-5200.Contact Information
Primary practice address
560 Lebo Blvd
Bremerton WA 98310
Phone: (971) 206-5200
Fax: (971) 206-5203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | P160039642 | Washington |
Profile Details
| NPI number | 1669618468 |
|---|---|
| LBN Legal business name | Fuller, Andre Laval |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2008 |
| Last updated | Dec 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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