DENITA FULLAM

DAYTON, OH
NPI1255124889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  pta03535)
Enumeration Date2025-05-27
Last Update Date2025-05-27
Business Address
DENITA FULLAM PTA
5491 FAR HILLS AVE
DAYTON, OH 45429-2325
Phone number: 937-436-5763
Mailing Address
DENITA FULLAM PTA
362 SHADOWOOD DR
VANDALIA, OH 45377-1581
Phone number: 937-478-7659