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Lee Ann Fulper Waller (PT, DPT)

Lee Ann Fulper Waller (PT, DPT) is a health care provider specializes in Physical Therapist. She is associated with medical group practice MOUNTAIN RIVER PHYSICAL THERAPY LLC.

profile-icon Basic Information

Practice Location 47 Depot St, Chatham, VA 24531-5518, US
Practice Location Phone434-432-0028
Practice Location Fax434-432-0062
GenderFemale
Specialty InPhysical Therapist
Medical SchoolOther
Graduation Year2013
NPI ?1912350935
PECOS ID0648567982
Enrollment IDI20160929001710
Entity TypeIndividual
Enumeration Date ? Jul 14, 2016
Last Update Date ? Jul 14, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Lee Ann Fulper Waller

SpecialtySpecializationLicenseLicense State
Physical Therapist 2305208101Virginia

Medicare-icon Medicare Participation of Lee Ann Fulper Waller

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Lee Ann Fulper Waller

Medical Group PracticeMountain River Physical Therapy Llc