DOUGLAS DALE FULLMER

PUYALLUP, WA
NPI1659148989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  61491282)
Enumeration Date2023-12-06
Last Update Date2023-12-06
Business Address
DOUGLAS DALE FULLMER PT
8105 124TH ST E
PUYALLUP, WA 98373-4933
Phone number: 775-296-1996
Mailing Address
DOUGLAS DALE FULLMER PT
8105 124TH ST E
PUYALLUP, WA 98373-4933
Phone number: 775-296-1996
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