NPI 1174880264
Roene Fuller, PT
Practice location
- Address
- 1202 Highway 60 West Socorro General Hospital, Socorro, NM 87801-3914
- Phone
- (575) 835-1140
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1174880264
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Apr 2012
- Record last updated
- 13 Apr 2012
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.