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JORDAN FULLER, PT, DPT, LAT, ATC
PT, DPT, LAT, ATC
Physical Therapist
NPI: 1992214803IndividualAccepts Medicare
Specialties, Licenses & Credentials
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Physical Medicine & Rehabilitation — Sports Medicine
Code: 2081S0010X
3209(MA)
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
26548(MA)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2022
Contact & Hours
Via practice · 2 locations total
- Address
- 50 Ocean Ave Apt 513A
Revere, MA 02151 - Phone
- (916) 337-4524
Quick Facts
- NPI
- 1992214803
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 4
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