Individual provider · Type 1 NPI

Denita Fullam, PTA

Physical Therapy Assistant · Dayton, OH

NPI number 1255124889 Active

Practice location

5491 Far Hills Ave
Dayton, OH 45429-2325

Call (937) 436-5763 Map

Mailing address

362 Shadowood Dr
Vandalia, OH 45377-1581

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA03535 (OH)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1255124889

Denita Fullam, PTA's National Provider Identifier is 1255124889, issued on May 27, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Dayton, OH. The record was last updated on May 27, 2025.