NPI 1275859720

Dale Debra Fuller, NLMT

Practitioner Mechanotherapist East Stroudsburg, PA

Practice location

Address: 2161 Sarah CT, East Stroudsburg, PA 18301
Phone: (570) 406-1975
Fax: (570) 406-1975
Mailing address: 2161 Sarah CT, East Stroudsburg, PA 18301-7933

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MSG003284 (PA)

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Registry record

NPI: 1275859720
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2010
Record last updated: 24 Jun 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.