Fuller, Andrea
Fuller, Andrea is an individual health care provider with primary practice located at 3851 Roger Brooke Dr Mche-Qd/Credentials, Fort Sam Houston TX 78234-4501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as her primary health care specialty. Fuller, Andrea can be contacted via phone (210) 916-2460.Contact Information
Primary practice address
3851 Roger Brooke Dr Mche-Qd/Credentials
Fort Sam Houston TX 78234-4501
Phone: (210) 916-2460
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 05007204A | Indiana |
Profile Details
NPI number | 1881685543 |
---|---|
LBN Legal business name | Fuller, Andrea |
Credentials | PT, DPT, SCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2005 |
Last updated | Oct 7th, 2019 - about 6 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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