NPI 1003424656

Christopher Fuller, PTDPT

Practitioner Physical Therapist Jacksonville, FL

Practice location

Address: 655 W 8th St, Jacksonville, FL 32209-6511
Phone: (904) 244-0411

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT34869 (FL)

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Registry record

NPI: 1003424656
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2020
Record last updated: 8 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.