NPI 1043368400

Amy Z. Fullen, PT

Practitioner Physical Therapist Lewisburg, WV

Practice location

Address: Rr 2 Box 169-G Grayrock Professional Park, Lewisburg, WV 24901-9316
Phone: (304) 645-1706
Fax: (304) 645-4085
Mailing address: 420 W Pinhook Rd Suite a, Lafayette, LA 70503-2131

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 000866 (WV)

Other Physical Therapist providers in West Virginia →

Registry record

NPI: 1043368400
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2007
Record last updated: 9 Jul 2007

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.