Chris-ann Fullen PTA

NPI 1174734701 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1174734701
Gender Female
Enumeration Date 05/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
585 LEBANON ST
MELROSE MA, 02176-3225, US
Phone (781) 979-3724
Fax
Business Location
10 LOUIS RD
TEWKSBURY MA, 01876-1223, US
Phone (978) 851-7471
Fax
Toxanomy
Taxonomy Code 225200000X
License State Massachusetts
License Number 2833
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According to our database, Chris-ann Fullen PTA NPI is 1174734701, taxonomy code is 225200000X and license number is 2833, license state is located at Massachusetts. Chris-ann Fullen PTA physically located at 585 Lebanon St, Melrose MA, 02176-3225. NPI Number Chris-ann Fullen PTA has the Individual type.

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1174734701 NPI number is provided on an as is basis without warranty of any kind. 1174734701 is maintained by the National Plan & Provider Enumeration System. The contents of Chris-ann Fullen PTA are for informational purposes only.