Lisa L Fulton PT,PCS

NPI 1033152566 - Physical Therapist - 225100000X

NPI Details
NPI 1033152566
Gender Female
Enumeration Date 06/13/2006
Last Updated 07/11/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6202 CERULEAN AVE
GARDEN GROVE CA, 92845-2756, US
Phone (714) 347-0300
Fax
Business Location
6202 CERULEAN AVE
GARDEN GROVE CA, 92845-2756, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT15269
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According to our database, Lisa L Fulton PT,PCS NPI is 1033152566, taxonomy code is 225100000X and license number is PT15269, license state is located at California. Lisa L Fulton PT,PCS physically located at 6202 Cerulean Ave, Garden Grove CA, 92845-2756. NPI Number Lisa L Fulton PT,PCS has the Individual type.

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1033152566 NPI number is provided on an as is basis without warranty of any kind. 1033152566 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa L Fulton PT,PCS are for informational purposes only.