Doctor Name: | MR. DONALD M FULLER |
NPI Number: | 1417985540 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | |
Business Practice Address: | 8155 Oliver Rd. Erie, PA - 165094621 |
Business Phone Number: | 8148665930 |
Business Fax Number: | 8148681767 |
Mailing Address: | 1337 W. 6 St., ERIE |
State: | PA |
Postal Code: | 165052503 |
Phone Number: | 8144566000 |
Fax Number: | 8144566060 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |