Individual provider · Type 1 NPI

La'porscha Fuller

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1992341325 Active

Practice location

400 Shadow Lane, Suite #106
Las Vegas, NV 89106

Call (702) 731-0909 Map

Fax (702) 826-4757

Mailing address

8936 Spanish Ridge Ave, Credentialing
Las Vegas, NV 89148

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1992341325

La'porscha Fuller's National Provider Identifier is 1992341325, issued on Nov 20, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 20, 2019.