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1376367888
TYEISHA FULLER
PRATTVILLE, AL
NPI
1376367888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH12093)
Enumeration Date
2024-11-12
Last Update Date
2024-11-12
Business Address
TYEISHA FULLER PT, DPT
564 N MEMORIAL DR
PRATTVILLE, AL 36067-2132
Phone number: 334-491-0066
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Mailing Address
TYEISHA FULLER PT, DPT
834 LEGENDS DR
MONTGOMERY, AL 36116-6576
Phone number: 574-370-4564
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