| NPI | 1194715714 |
|---|---|
| Former Name | ERIN L. FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1154993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22769) |
| 225100000X Physical Therapist (Licence: HI PT-2517) | |
| 225100000X Physical Therapist (Licence: FL PT20753) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-07-23 |