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Andre Fuller, PTA
NPI 1669618468 · on the registry since 2008
Practice
- Address
- 560 Lebo Blvd
Bremerton, WA 98310 - Phone
- (971) 206-5200
- Fax
- (971) 206-5203
- Organisation at this address
- Belmont Terrace, Inc.
Olympic Marmot Healthcare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington