Individual provider · Type 1 NPI

Andre Laval Fuller, PTA

Physical Therapy Assistant · Bremerton, WA

NPI number 1669618468 Active

Practice location

560 Lebo Blvd
Bremerton, WA 98310

Call (971) 206-5200 Map

Fax (971) 206-5203

Mailing address

4560 SE International Way, Ste. 100 Consonus Healthcare Services
Milwaukie, OR 97222

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XP160039642 (WA)

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 1669618468

Andre Laval Fuller, PTA's National Provider Identifier is 1669618468, issued on Dec 29, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bremerton, WA. The record was last updated on Dec 29, 2008.