DEBRA D FULLER

KINGMAN, AZ
NPI1194018382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  8956A)
Enumeration Date2011-05-19
Last Update Date2011-05-19
Business Address
-- DEBRA D FULLER
3801 SANTA ROSA
KINGMAN, AZ 86401-2311
Phone number: 928-263-5000
Mailing Address
-- DEBRA D FULLER
7802 E CONCHO DR
KINGMAN, AZ 86401-8130
Phone number: