Individual provider · Type 1 NPI

Christopher Marshall Fuller

Developmental Therapist · Jacksonville, FL

NPI number 1912320334 Active

Practice location

5132 Edgeware Ct.
Jacksonville, FL 32217

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XF460-113-89-031-0 (FL)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1912320334

Christopher Marshall Fuller's National Provider Identifier is 1912320334, issued on Jan 22, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 22, 2014.