LEE ANN FULPER WALLER

CHATHAM, VA
NPI1912350935
Former NameLEE ANN BENNETT FULPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305208101)
Enumeration Date2016-07-14
Last Update Date2016-07-14
Business Address
-- LEE ANN FULPER WALLER PT, DPT
47 DEPOT ST
CHATHAM, VA 24531-5518
Phone number: 434-432-0028
Mailing Address
-- LEE ANN FULPER WALLER PT, DPT
415 36TH ST SUITE 100
PARKERSBURG, WV 26101-1005
Phone number: 304-917-3660
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