William Johnson Fuller, DPT Valid NPI
Individual provider · Physical Therapist · Moncks Corner, SC
- NPI
- 1750062824
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 12810 (SC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-07-31
- Last updated
- 2026-02-09
Practice location
116 Foxbank Plantation Blvd Ste E
Moncks Corner, SC 29461-6741
(843) 761-4622