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1881685543
ANDREA FULLER
FORT SAM HOUSTON, TX
NPI
1881685543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: IN 05007204A)
Enumeration Date
2005-11-02
Last Update Date
2019-10-07
Business Address
ANDREA FULLER PT, DPT, SCS
3851 ROGER BROOKE DR MCHE-QD/CREDENTIALS
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-2460
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Mailing Address
ANDREA FULLER PT, DPT, SCS
20823 STEVENS CREEK BLVD STE 200
CUPERTINO, CA 95014-2112
Phone number: 408-252-6076
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