Jean Marie C Fuller in Indialantic - Physical Therapist
Jean Marie C Fuller - NPI 1154517597
Jean Marie C Fuller is a Physical Therapist in Indialantic, Florida. Jean Marie C Fuller practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jean Marie C Fuller is 1154517597. The last update date is 2008-03-05.
Jean Marie C Fuller's current location address is 408 5th Ave, Indialantic, Florida. You can contact this provider via phone number 3217272707 and fax number 3217272977. The mailing address for Jean Marie C Fuller is 408 5th Ave, Indialantic, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Marie C Fuller |
|---|---|
| Address | 408 5th Ave, Indialantic, Florida |
| Phone Number | 3217272707 |
| Fax Number | 3217272977 |
| Sole Proprietor | N |
| Credentials | PT, DPT |
NPI Number Detail
| NPI Number | 1154517597 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 408 5th Ave |
|---|---|
| City | Indialantic |
| State | Florida (FL) |
| Post Code | 329034280 |
| Phone Number | 3217272707 |
| Fax Number | 3217272977 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT-23569 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identifier code issued to Jean Marie C Fuller by the Centers for Medicare & Medicaid Services?
The Jean Marie C Fuller has been assigned the NPI (National Provider Identifier) 1154517597 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jean Marie C Fuller is physically located?
The Jean Marie C Fuller is physically situated at the following address: 408 5Th Ave, Indialantic, FL, 329034280.
What is the area of specialization for Jean Marie C Fuller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jean Marie C Fuller is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154517597 to Jean Marie C Fuller?
The Jean Marie C Fuller received its 1154517597 assignment from the Centers for Medicare & Medicaid Services on 2007-09-19.
As of what date were the details related to Jean Marie C Fuller most recently updated or revised?
The information pertaining to Jean Marie C Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-05.