Bradley A Fuller, P.T.
Physical Therapist in Honolulu, HI. Individual provider (NPI-1).
NPI number1871015644
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1871015644
- Entity type
- Individual (NPI-1)
- Name
- Bradley A Fuller
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 0617-01 | HI | Yes |
Practice location
1401 S Beretania St Ste 550Honolulu, HI 96814-1880
Phone 808-591-2244 · Fax 808-591-2245
Mailing address
1401 S Beretania St Ste 550Honolulu, HI 96814-1880
Phone 808-591-2244 · Fax 808-591-2245
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