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Dorothy Ilert Fuller, MBA
Prosthetic/Orthotic Supplier in Fresno, California
NPI 1508545492

Dorothy Ilert Fuller is a Prosthetic/Orthotic Supplier based in Fresno, CA. Dorothy Ilert Fuller practices in Fresno, CA and has the professional credentials of MBA. The NPI Number for Dorothy Ilert Fuller is 1508545492 and holds a License No. (California).

The current practice location address for Dorothy Ilert Fuller is 9439 N Saybrook Dr Apt 228, Fresno, CA and can be reached out via phone at 615-525-3523.

Location: 9439 N Saybrook Dr Apt 228, Fresno, CA, 93720-0636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508545492
Provider Name
Dorothy Ilert Fuller
Credential
MBA
Provider Entity Type
Individual
Gender
Female
Address
9439 N Saybrook Dr Apt 228, Fresno, CA, 93720-0636
Phone Number
615-525-3523
Fax Number
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9439 N Saybrook Dr Apt 228
City
Fresno
State
California
Zip
93720-0636
Phone Number
615-525-3523
Fax Number
person
Provider Business Mailing Address Details
Address
9439 N Saybrook Dr Apt 228
City
Fresno
State
California
Zip
93720-0636
Phone Number
615-525-3523
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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