Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY R FULLER, PT
Active Sole ProprietorMARY R FULLER, PT is a Physical Therapy Assistant healthcare provider located in FORT GORDON, Georgia. NPI 1407183239 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT GORDON, GA
Registration Details
- NPI Number
- 1407183239
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2009 (16.753434610349 yrs)
- Last Updated
- Jul 24, 2015
- License
-
558 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 W HOSPITAL RDSINTERDISCIPLINARY PAIN MANAGEMENT CENTERFORT GORDON, GA, 309055741Browse GA providers · Browse ZIP 30905
- Phone
- 7067871473
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT GORDON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. DEANNA KIMBERLY BROGAN | MPT | 1518077023 |
| DR. ALDO MARIO MENDOZA | PT | 1790851277 |
| MR. ERIC SAMUEL NELSON | DPT | 1427124908 |
| MRS. JAMIE GROVE CRESSEND | MPT | 1205904927 |
| DR. JEREMY PAUL HUTTON | DSCPT | 1528136991 |
| MR. ERIC D WESSLING | MPT | 1083772446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.