SearchMichigan2255A2300X

Brooke Fuller, AT, ATC

NPI 1326438672 · on the registry since 2015 · sole proprietor

Practice

Address
18681 Wingate Rd
Manchester, MI 48158
Phone
(734) 646-3802

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan