NPI 1053714337
Cory Ryan Fuller, DPT
Practice location
- Address
- 410 2nd Ave E Suite C, Oneonta, AL 35121-1412
- Phone
- (205) 274-0922
- Fax
- (205) 274-0924
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1053714337
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Oct 2014
- Record last updated
- 1 Oct 2014
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.