DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANDRE LAVAL FULLER, PTA

Active

MR. ANDRE LAVAL FULLER, PTA is a Occupational Therapist healthcare provider located in BREMERTON, Washington. NPI 1669618468 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BREMERTON, WA

Registration Details

NPI Number
1669618468
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2008 (17.585840949222 yrs)
Last Updated
Dec 29, 2008
License
P160039642 (WA)

Practice Information

Address
560 LEBO BLVD
BREMERTON, WA, 98310
Browse WA providers · Browse ZIP 98310
Phone
9712065200
Fax
9712065203
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in BREMERTON, WA

Name Credential NPI
MS. ELKE MONIKA ETCHEBERRY PTA 1013113786
MS. LORI ANN BECK PTA 1730386418
MISTY AMBER OAKES PTA 1003013855
MS. NORA GANT WIDENER LPTA 1477750040
ROBERT SHERIDAN PTA 1891959490
MR. ROCKWELL EDWARD GERLACH PTA 1720238207
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.