Fuller, Connie M

Fuller, Connie M is an individual health care provider with primary practice located at 50475 Gratiot Suite B Physical Therapy Professionals Pc, Chesterfield MI 48051-3128. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fuller, Connie M can be contacted via phone (586) 598-0050.

Contact Information

Primary practice address
50475 Gratiot Suite B Physical Therapy Professionals Pc Chesterfield MI 48051-3128
Phone: (586) 598-0050
Fax: (586) 598-1804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501005085 Michigan

Profile Details

NPI number 1629268800
LBN Legal business name Fuller, Connie M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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