WILLIAM JOHNSON FULLER

TAMPA, FL
NPI1750062824
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT40202)
Enumeration Date2023-07-31
Last Update Date2023-07-31
Business Address
WILLIAM JOHNSON FULLER
6633 GUNN HWY
TAMPA, FL 33625-4056
Phone number: 813-519-0604
Mailing Address
WILLIAM JOHNSON FULLER
21756 STATE ROAD 54 STE 102
LUTZ, FL 33549-2905
Phone number: