ANTOINEKE FULLER

CHATHAM, VA
NPI1053710848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306602722)
Enumeration Date2014-08-18
Last Update Date2014-08-18
Business Address
-- ANTOINEKE FULLER LPTA
100 RORER ST
CHATHAM, VA 24531-5455
Phone number: 434-432-0471
Mailing Address
-- ANTOINEKE FULLER LPTA
3501 OLD MINE RD
GRETNA, VA 24557-2676
Phone number:
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